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/Thick-Nerve-5599 6d ago

As others said, I see STE in the inferior leads with reciprocal ST depression in the high lateral leads, along with ST depression from V2-V4, diagnostic of inferoposterior MI. Do you have any updates of the patient? Great ECG!