n Cardiovascular Journal of South Africa - The William Nelson ECG quiz

Volume 15, Issue 3
  • ISSN : 1680-0745



Extracted from text ... The answer is provided on page 142. The William Nelson ECG Quiz This is the ECG of an 88-year-old man. What are your observations? A disappearing act! What has happened? The William Nelson ECG Quiz The top tracing is easy - sinus rhythm at 90/min with features of inferior and antero-septal myocardial infarction. Two days later, and despite the baseline artifact, there is evidence of acute inferior-posterior-lateral MI, with incomplete RBBB. The reorientation of forces anteriorly in the horizontal plane, due to the posterior MI, has virtually erased the anterior infarct obvious two days earlier. Emphasis: serial tracings are the ..

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