A 50 years old male came to the emergency with chief complaints of acute onset retrosternal chest pain radiating to left arm along with palpitation and perspiration. ECG of the patient is shown below.
ECG 1 (Click on the ecg to enlarge it)
ECG is showing heart rate of 120 beats per minute, irregularly, irregular, no visible P wave seen, left axis deviation, narrow QRS, there is 2-3 mm ST segment visible in lead II,III, avF, V5,V5 along with ST segment depression in lead I, avL so the ecg is suggestive of acute inferolateral wall myocardial infarction with atrial fibrillation.
ECG 2 (Click on the ecg to enlarge it)
Patient was successfully thrombolysed with injection streptokinase therapy after ruling out contraindication.
Final diagnosis of the patient is Inferior wall myocardial infarction with atrial fibrillation with successful thrombolysis.
Thank you
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