Infero-posterior MI (ECG 3)

Patient. 54 year old male with previous inferior MI and underwent PCI/stent placement to circumflex and obtuse marginal branches in 7/02. Brachytherapy was performed for instent restenosis in these areas in 11/02. He was brought in this time with severe chest pain and became extremely agitate required heavy sedation and intubation during emergent PCI/drug eluded stent to circumflex and obtuse marginal branches again.

Comment. Prominent R wave in early procordial leads (R/S >1) in this case may be due to posterior MI and/or incomplete RBBB. Note also Q in II, III and aVF is a little more prominent from inferior MI.

Go to ECG 1 and 2 of the same patient

Go to prominent R in V1 (R/S >1)
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