EKG Fileroom Case 7

Diagnosis: Old inferior MI and more recent anteroseptal MI w/ associated left sided conduction defects.

Discussion: The inferior MI is evidenced by the slurred Q in lead II and AVF. The more recent anteroseptal MI is evidenced by the Q waves in in V1-V4 and inverted T waves in V1-V6, I and AVL.

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Note: The explanations contained here are based upon my own understanding of Electrophysiology as a 4th year medical student. I am pretty sure I am right, but if you have more to add, comments, questions or corrections please email me.