Chest pain and diaphoresis. BP 80/50. Describe and interpret his ECG
Describe and interpret this ECG
ECG ANSWER and INTERPRETATION
- There is ST elevation in the inferior leads II, III and aVF.
- The concave morphology might lead you to suspect pericarditis – however, there is reciprocal change in the high lateral leads I and aVL, confirming the diagnosis of inferior STEMI.
There are additional features suggestive of right ventricular infarction:
- ST elevation in III > II
- Isoelectric ST segment in V1 with ST depression in V2