There are seven parts to this answer

 
The patient was in shock with his MI and went immediately to the catheterization laboratory. On the left panel is an RAO image of the diffusely diseased right coronary artery with sluggish distal flow. Look how far posteriorly the artery distributes in the LAO view; hence the inferoposterior MI on ECG. An intraaortic balloon pump was inserted, and because of three vessel disease went to emergency bypass surgery.

 

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Address questions about the ECG’s by E-mail to:

Dr. Winston swinston@michiganheart.com

Forwinstons@mediaone.net

(send to both addresses for a more prompt response)

Dr. Judge rjudge@umich.edu

Dr. Lehmann lehmann@umich.edu