ECG of the Week – 26th June 2019 – Interpretation

Reviewing the ECG of a 63 yr old with chest discomfort

Rate of 84 beats per minute
Normal sinus rhythm with frequent pre mature ventricular contraction in a bigeminy pattern
Alternating narrow and wide complexes suggestive of LBBB pattern
Left Axis deviation
Inferior ischemia involving 2/3/aVf and laterally V5V6
Acute anterio septal myocardial infarction with one mm ST elevation in aVR/aVL
and 2 mm ST elevation V1-V3
LAD lesion