Man Collapses While Playing Basketball
Clinician Reviews. 2015 October;25(10):16-17
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The correct interpretation is normal sinus rhythm with an acute anterior MI (STEMI) and inferolateral injury. In the absence of left ventricular hypertrophy and left bundle-branch block, an acute anterior MI manifests with new ST elevations ≥ 0.1 mV, measured at the J point in leads V2-V3. Inferolateral injury is indicated by ST elevations in leads II, III, and aVF, as well as ST elevations in leads V4-V6.
Laboratory findings confirmed the diagnosis of a new infarction, and cardiac catheterization revealed significant blockage in the proximal left anterior descending and circumflex coronary arteries. These were treated percutaneously, and the patient recovered without sequelae.