Published in:
01-04-2011 | Rhythm Puzzle - Question
Inferolateral myocardial infarction? Which vessel is occluded and where?
Published in: Netherlands Heart Journal | Issue 4/2011
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A 55-year-old man was seen at our emergency department with chest discomfort. His initial ECG showed ST-segment elevation in leads I, II, III, aVF and V4-6 (Fig. 1). An ECG taken a few days after initial presentation is shown in Fig. 2. Where do you think his myocardial infarction is located? Which vessel is occluded and where? Or do you have an alternative diagnosis?
Fig. 1
Twelve-lead electrocardiogram, at presentation, showing ST-segment elevations in leads I, II, III, aVF and V4-6
Fig. 2
Twelve-lead electrocardiogram a few days after admission showing negative T-waves in leads I, II, III, aVF and V4-6
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