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Inferior wall M.I.; Right bundle branch block; STEMI

Inferior Wall M.I. and Right Bundle Branch Block

Wed, 09/06/2017 - 20:45 -- Dawn

These ECGs were taken from a 76 year-old-man who was complaining of chest pressure for 20 minutes.  He had a remote history of coronary artery bypass graft surgery.

This case has several good teaching points, including:

Significant artifact.  The limb leads show artifact which is severe enough to hamper our assessment of the j point location. Every effort should be made to eliminate artifact.  Some measures that might help are:

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