A 55 years old male came with a history of acute onset chest pain of 2 hours duration along with giddiness. The patient was a known case of diabetes mellitus and hypertension. Patient ECG is shown below.
ECG 1
ECG is showing bradycardia @ 36 beats per minute, AV dissociation, P wave @ 100bpm, ST- segment elevation in lead II, III, avF, ST-segment depression in avL, V2-V6
ECG diagnosis: Acute ST-elevation myocardial infarction with complete heart block.
Another ecg of the patient taken after ten minute
ECG is showing dissociation of P wave and QRS complex suggestive of complete heart block. There is ST- segment elevation in lead II, III,avF with ST-segment depression in lead I, avL, V2-V6
Another ecg of the patient taken after ten minute
ECG is showing dissociation of P wave and QRS complex suggestive of complete heart block. There is ST- segment elevation in lead II, III,avF with ST-segment depression in lead I, avL, V2-V6
Diagnosis: Acute ST-elevation inferior wall myocardial infarction with complete heart block.
The patient was immediately thrombolysed and there is the resolution of ST-elevation and complete heart block after thrombolysis.
Thank you
Praveen Gupta
Thank you
Praveen Gupta
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