ECG Strip 33


ECG Strip 33 - subacute inferior STEMI

This patient (75 years old, female) is shortly after a coronary angiography because of suspected STEMI infarction. The diagnosis has been confirmed, however the finding (serious form of a so-called three vessel coronary artery disease with a total obstruction of right coronary) could not be successfully revascularized. The patient has been sent from the local cardiovascular center to our hospital for monitoring and conservative treatment. This is an ECG done by admission of the patient. We see deep Q waves and ST elevations in leads II, III and aVF. There are “mirror” depressions of ST intervals in I, aVL and V6 and negative T waves in leads V5-V6. This finding is typical for a recently suffer STEMI infarction of the inferior heart wall. We can also notice the rSr’ QRS pattern in V1 corresponding to incomplete RBBB.


Jiri Stefanek, MD  Author of texts: Jiri Stefanek, MD
 Sources: basic text sources