ECG Library


Beginner ECG 18

  1. Sinus tachycardia
  2. Anterior and inferior myocardial infarction - age indeterminate

There are Q waves in the inferior leads and in leads V1-V4 (anteroseptal leads). This indicates an infarction, possibly old. What is concerning about this ECG tracing are the ST segments. There is an abnormal "coving" shape in the precordial leads and are ever so slightly elevated in the inferior leads. This does NOT meet criteria for an ST elevation myocardial infarction, however if this patient presented with chest pains, an acute coronary syndrome should be suspected.

Related Topic Reviews: Sinus Tachycardia, Anterior MI ECG Review, Inferior MI ECG Review