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| Antero-septal MI and RBBB |
| ST elevation in V1 V2. This case may represent anterior MI as well. V3 is involved here and later ECG has lost of R wave in anterolateral leads. Reciprocal ST depression is expected in II, III, aVF V5-V6. Shown here in II, aVL and perhap in aVF. No Q wave. |
| ST elevation MI (anterior or inferior) can be made in the present of RBBB. |
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| Evolving antero-septal or anterior MI. Few hours following emergency direct PCI/stent procedure for ST elevation MI. |
| Close to stage 4 than stage 3 of evolving pattern. The ST elevation has almost retuned to baseline and T wave has inverted already. Q wave in V1-V3. |
| Patient. 49 year old male presented himself in ER an hour after experiencing severe chest pain, first time ever. Initial ECG show acute ST elevation anterior or antero-septal MI. Note that he also has RBBB. The patient underwent urgent direct PCI/stent to the complete occluded proximal LAD. |
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