Inferior wall myocardial infarction with right sided extension with ventricular ectopy

A 63 Yr/Female, known case of hypertension came to JIPMER hospital, Pondicherry with chief complaint of acute onset chest pain of 3 hours duration. ECG of the patient is shown below.

ECG 1 (Click on the image to enlarge it)

ECG is showing sinus rhythm at rate around 100 beats per minute, PR interval 200 msec, there is ST segment elevation in lead II,III, avF, V3, V6ST segment depression present  in lead I, avL, V2, V4, V5, intermittent ventricular ectopy seen of LBBB morphology, QT interval 360 msec, QTc 465 msec,so the ECG is suggestive of inferior wall myocardial infarction with later extension in view of ST segment elevation in lead V6

ECG 2

Right side of the ECG 3

Right side lead of the patient is showing ST segment elevation in lead V3-V6 suggestive of right sided infaction.

Patient immediately underwent thrombolysis, post thrombolysis ECG of the patient is shown below

ECG 4

Post Thrombolysis ECG is showing successful ST segment resolution in inferior lead.



Thank you.

Praveen Gupta