Classical Acute Anterior Infarction

Report:

Sinus rhythm 70/min

Acute anterior infarction

Comment:

The tracing is shown because of its typical upwardly convex ST segment elevation, involvement of 1 and aVL and deep reciprocal ST depression, signatures of proximal LAD occlusion.

It evolved as expected (below, Fig 66a): reciprocal changes gone, ST elevation diminishing, T waves starting to invert.

The patient was quite young and the usual suspects were rounded up50, without revealing any interesting culprits.

66a. 67. Ventilated 75 year old man with Guillain-Barre syndrome and cardiogenic shock causing acute renal failure.

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