ECG Strip 01
Warfarinized patient with INR approximately two has been admitted to the inpatient department because of an episode of destabilized hypertension. During the hospitalization he complained about a sudden (but quite mild) chest pain. ECG recording shows following changes – ST segment elevations (Pardee's waves) in leads II, III and aVF and contralateral „mirror“ depression of ST intervals in leads I, aVL, V1-V6. This is a classic case of STEMI infarction of the inferior heart wall. Patient pharmacologically treated as acute STEMI and urgently transported to local cardiovascular center for a therapeutic coronary angiography (confirmed ACD closure).
Note: Patient died by sudden death about two weeks after successful revascularization.