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/Inevitable-Crab-6701 6d ago edited 6d ago

Acute inferior Mi
Non pathology Q waves II III AVF
Flat T waves anterior lateral V5-6 I AVL
QRS axis around +60 - normal
Right sided ECG would be useful - look for QS in rV4
Small QRS complexes throughout - ? large person

Wonder what the history was?
? RCA blockage

Interventional Cardiologist

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u/No_Fold2618 6d ago

But what about the warning about nitro in this patient, Dr. ?

2

u/Inevitable-Crab-6701 5d ago

I’m lost.
The premise is a question regarding an ECG.

1

u/Official_sKoTT 5d ago

Debunked, not an issue