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62. A young healthy man presented with 4 hrs of sharp 10/10 substernal chest pain. It...

62. A young healthy man presented with 4 hrs of sharp 10/10 substernal chest pain. It has been constant since then. he looked ill & diaphoretic. He was sent immediately to cath lab after this ECG. What is the diagnosis?

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Answer #1

By looking at the ECG we can say that the patient is suffering from ST elevation myocardial infarction (STEMI).

The ECG features suggestive of STEMI are :

  • ST segment elevation
  • fragmented QRS in lead V2 suggestive of MI
  • Small V2 voltage suggestive of MI
  • terminal distortion of QRS in V2 and V3
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