A 65 years old male came with history of acute onset retrosternal chest pain along with perspiration, dizziness and dyspnoea of two hours duration. Patient was chronic smoker but there was no history of diabetes mellitus or hypertension. Patient ecg is shown below.
ECG
ECG is showing ST segment elevation in lead II,III, avF, along with ST segment depression in lead I, avL suggestive of acute inferior wall myocardial infarction. There is complete dissociation of P wave and QRS suggestive of AV dissociation suggestive of complete heart block (arrow marks).
Patient was immediately admitted and thrombolysed. Patient improved and achieve normal sinus rhythm and later discharged in stable condition.
Thank you
Praveen Gupta
No comments:
Post a Comment