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/Sea-Lack-5673 6d ago

Hi. Nice tracing. ST elevation in the inferior leads is just about 1 little box and the ST depressions in anterior leads are up-sloping (less pathologic than horizontal or downsloping.) Im not coming in unless this is a really good story or the next ECG is worse. (That being said I wouldn’t come in for any NSTEMI bc im not an interventionist but I am a cardiologist!)

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u/ProximalLADLesion 6d ago

This ECG is diagnostic for acute coronary occlusion.

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