Myocardial infarction

Case 3 answer

Anterior Infarction


History: This ECG was recorded from a 65-year-old man with an acute onset of central chest pain for 2 hours on a plane trip.

ECG shows:

  • Sinus rhythm, 57/min, normal QRS axis
  • Marked ST segment elevation in (V1-6, aVL, lead I), suggestive of an extensive anterior infarction.
  • Reciprocal ST depression in the inferior leads.

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