A 38- years old male came with history of acute retrosternal chest pain of 4 hours duration along with palpitation, perspiration and dyspnoea. Patient was a known case of Diabetes mellitus since last 6 months and was on oral medication. Patient was chronic smoker. ECG of the patient done in the emergency department is shown below.
ECG is showing sinus rhythm at 110 beats per minute, normal axis, PR interval of 120 msec, ST segment resolution by more than 50% in lead V1-V5 suggestive of successful thrombolysis.
So the final diagnosis is Acute anterolateral wall myocardial infarction with successful thrombolysis.
Thank you.
ECG 1
ECG is showing normal sinus rhythm at 106 beats per minute, Normal axis, PR interval of 120 msec ST segment elevation in lead V1-V5, there is also very mild ST segment elevation in lead I,avL. There is very mild ST segment depression in lead II,III,avF so the ecg of the patient is suggestive of Acute anterolateral wall myocardial infarction.
Patient was immediately started on streptokinase thrombolytic therapy. Post thrombolysis ECG is shown below.
ECG is showing sinus rhythm at 110 beats per minute, normal axis, PR interval of 120 msec, ST segment resolution by more than 50% in lead V1-V5 suggestive of successful thrombolysis.
So the final diagnosis is Acute anterolateral wall myocardial infarction with successful thrombolysis.
Thank you.
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