Case 10

You are called to the geriatric ward at 4:00am to assess a 79 year old female who has reported increased shortness of breath for the past 30 minutes.

case
Rate75
Rhythm Regular. P waves prior to each QRS complex.
AxisNormal
Conduction
  • PR < 0.2s.
  • QRS < 0.12s
Hypertrophy
  • None
Infarction
  • ST-Elevations in V1-V6, I and aVL.
  • No Q waves
Discussion

This patient is having acute myocardial injury with lateral extension. This is a very wide territory and likely suggests involvement of the proximal LAD artery.