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Multiterritory infarction
Commentary by Matthew Schumaecker
EKG recorded by Dr. M. Rosengarten, MUHC, 1997
The rhythm is sinus rhythm with at 50/minute. The PR interval is 180 ms. The QRS axis is normal
Q waves are seen in lead II, III and aVF as well as V2 V4. There is ST-segment elevation in the inferior leads and precordial leads V1-V4. This suggests an anterior myocardial infarction of undetermined age and a possibly inferior infarction (the q wave in AVF is boarder-line). The T waves are also inverted in the lateral leads.