Voir la suite de cet article sur Cursus ECG
Patient
74-year-old man with severe ischemic cardiomyopathy;
Trace
Sinus rhythm, normal PR interval; deep Q-wave and poor R wave progression in the lower territory (leads II, III and aVF) and in the anterior territory (from V1 to V6);
Exergue
A wide and deep Q-wave in at least two contiguous leads should evoke an infarction in the process of development or a sequela of necrosis especially since it is associated with a ST-segment deviation or an ischemic inverted T-wave.
This patient presents an electrocardiogram characteristic of severe ischemic cardiomyopathy with prior large infarction (inferior and anterior territories) and highly altered left ventricular ejection fraction (< 25%).