ECG Blog #161 (Acute STEMI - Abnormal Rhythm)

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NOTE: The complete write-up of this case with my detailed ANSWER is found on the ECG Guru— CLICK HERE — 

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The Case: A 74-year old man presented to the ED with new-onset chest pain and the ECG shown in Figure-1. Of note — the patient had a history of severe COPD. For teaching purposes — I'll spotlight a number of interesting findings in the form of questions:

Questions:

• 1) What is the rhythm?
• 2) What is the probable “culprit” artery of this STEMI?
• 3) Which areas of the heart are affected? (HINT: Your answer should list at least 3 different areas! ).
• 4) Why do you think there is so much ST depression?
• 5) Is there any finding on this ECG that may be the result of this patient's severe pulmonary disease?

Figure-1: The initial ECG in this case.

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NOTE: My complete ANSWER to this case is found in the ECG Guru — CLICK HERE for the link — 

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