Online Journal of Cardiology
Home
Medical Teaching
EKG WORLD ENCYCLOPEDIA
Myocardial Infarction
Glossary
MI Index

Possible Acute anterior infarction with possible old inferior infarction

Interpretation by Matthew Schumaecker
EKG recorded by Dr. M. Rosengarten, MUHC, 1997

This tracing shows sinus bradycardia. The rate is 45/minute. The PR interval is 200ms. There is high voltage R waves in V2 and V5 which could suggest biventricular hypertrophy.

The peaked T waves in V2 and V3 along with slight ST segment elevation in those leads suggest the early stages of an acute anterior infarction although similar findings can be found with what is called "early replarization". There are deep but narrow Q waves in II, II and aVF suggesting a remote inferior infarction.