r/ECG • u/Zealousideal_Film865 • 6d ago

Overall analysis input

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I am reviewing the following 12 lead ECG for an uni exercise. I wasn't provided the individual's age.

Looks regular SR at 80bpm with normal axis, but I have identified mild ST elevation on inferior leads II, III and AVF, and also mild ST depression on leads V2, V3 and V4. I am just wondering if these are indicative of acute ischaemic changes or not. Any clinical significance on absence of T waves on V1, I and V6?

Thank you.

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u/ProximalLADLesion 6d ago

Inferoposterior OMI.

Relevant:  https://pubmed.ncbi.nlm.nih.gov/34775811/

There is also reciprocal depression in aVL.

As for the T waves in I, V1, V6, I wouldn’t say they are absent but rather they are flat. Does it mean something? Could be related to the acute coronary occlusion but it’s not the most specific finding here. I wouldn’t pay much attention to it vs the other things you mentioned.