ECG Strip 13
Patient (male, 72 years old), a cardiac, after two myocardial infarctions, has been brought to the outpatient department by paramedics for acute chest pain lasting for about 60 minutes. According to the paramedics there was short period of asymptomatic ventricular tachycardia. The present ECG shows deep Q in V1-V5 (probably a post-infarction myocardial scar), ST segment elevations in V1-V4 and aVL with contralateral “mirror” depressions in II, III and aVF are typical for acute STEMI infarction of the anterior wall. The patient is sent to local cardiovascular center for urgent coronary angiography (coronary artery obstruction confirmed, solved).