87 year old with resting chest pain with ECG sent in by ambulance. No further information. What is your interpretation of this ECG?
(Click to zoom on image)
“This Gentleman had a proximal LAD occlusion resulting in myocardial infarction, treated with emergency PCI in the Cath lab.”
Sinus rhythm with Right Bundle Branch Block (RBBB), Left Anterior Fascicular Block (LAFB), and an occlusive myocardial infarction (OMI) impacting the Left Anterior Descending Artery (LAD), proximal to the 1st Diagonal Branch resulting in anterolateral ischemia.
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Cheers
Mitch & the CPP Team
Figueroa-Triana JF, Mora-Pabón G, Quitian-Moreno J, Álvarez-Gaviria M, Idrovo C, Cabrera JS, Peñuela JAR, Caballero Y, Naranjo M. Acute myocardial infarction with right bundle branch block at presentation: Prevalence and mortality. J Electrocardiol. 2021 May-Jun;66:38-42.
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One Response
As a person who works in paediatrics, these examples are very helpful to keep sharp on ischaemia/infarction ECG interpretation. 👍 👍 👍