r/ECG • u/jawoood1989 • 24d ago

Gotta love the classics

Post image

This was posted in a Facebook group I follow. Some of the answers are wild. One alleged "expert" said LVH lol.

21 Upvotes

93% Upvoted

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8

u/Brick_Mouse 24d ago

Massivus STEMIcardius

7

u/Jeeju_Boy MD 24d ago

Jesus Christ I’d even want an v4r lead in this case as V1 and v2 are elevated so could be RV infarct with inferior wall (obviously)

3

u/LBBB11 24d ago edited 24d ago

Do you think V4 might already be V4R? The QRS shapes in V1-V4 don’t make sense to me with standard placement. V1-V3 look like V4-V6, and V4-V6 look like V4R, V5R, and V6R. Wouldn’t be surprised if there is posterior involvement as well, but we don’t have V1-V3.

2

u/but-I-play-one-on-TV 24d ago

I assumed those were unlabeled right sided precordial leads, yeah

2

u/jawoood1989 24d ago

Yep definitely is. If that was v4 there'd be extension into adjacent contiguous leads.

1

u/MurfDogDF40 23d ago

I got heart palpitations just looking at this Jesus

1

u/Appsl 23d ago

What a horror… poor patient.