ECG Case 026

70-year old patient presenting with chest pain and diaphoresis. Describe the ECG.

TOP 100 ECG QUIZ LITFL 026 2

Describe and interpret this ECG

ECG ANSWER and INTERPRETATION

This is a very worrying ECG demonstrating massive anterolateral STEMI with “tombstone” morphology:

  • Gross ST elevation in V1-6, I and aVL.
  • Early Q wave formation in aVL.
  • Reciprocal ST depression in inferior leads II, III and aVF.

This ECG pattern is seen in proximal LAD occlusion and indicates a large territory infarction with a poor LV ejection fraction and high likelihood of cardiogenic shock and death.


TOP 100 ECG SERIES


Emergency Physician in Prehospital and Retrieval Medicine in Sydney, Australia. He has a passion for ECG interpretation and medical education | ECG Library |

Leave a Reply

This site uses Akismet to reduce spam. Learn how your comment data is processed.