A 65 years old male comes to JIPMER Hospital, Pondicherry, India with chief complaints of acute onset retrosternal chest pain since last one hour. Patient was a known case of dyslipidemia since last three years and was on treatment. During evaluation in the emergency department patient pulse was 105 beat per minute, BP-140/100 mmhg, RS-Bilateral normal vesicular breath sound were present, CVS-S1S2 were present. ECG of the patient in the emergency department is shown below.
ECG ( Click on the image to enlarge it )
Description of the ECG- Sinus rhythm at 105 beats per minute, normal axis, ST segment elevation seen in lead V1-V6, lead I, avL, ST segment depression seen in lead III,avF, PR interval 120 msec, so the ECG was suggestive of acute extensive anterior wall myocardial infarction.
Patient was immediately admitted and was given injection streptokinase.
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