15 minutes later …
DESCRIPTION:
- Ventricular rate 40 bpm
- Sinus bradycardia
- 1st degree AV block (PR interval 276 ms)
- Normal QRS axis (2°)
- QRS duration 96 ms
- Normal R wave progression
- Downsloping ST segment depression in the lateral leads (I + aVL, V5-6)
- Resolving ST elevation in the inferior leads III + aVF with remaining hyperacute T waves
- Resolving biphasic down-up T wave inversion in leads V2, I + aVL
- QTc 379 ms
INTERPRETATION:
The patient was symptom free at the time of this recording. In this context, this ECG would represent spontaneous resolution of the presumed RCA occlusion resulting in a trend towards normalisation of the ECG.
