Infarctions and ST Segments
50 year old female with chest pain.
- Q wave inferior infarction with ST elevation
- Low amplitude P waves with long first degree AV block
- 1st degree AV block
- Sinus bradycardia
- Inferior infarct recent or acute
- ST abnormalities suggesting myocardial injury
Discussion: Whenever an inferior injury or infarct is coded, always look for disturbances in AV conduction and for an injury vector going towards V1, which would indicate right ventricular involvement (not present here).