Mr.Henry has ST segment elevations in II,III,and aVF along with reciprocal ST depression in I,aVL,and V₁-4.Right-sided EKG shows ST elevation in V₃-4R.His blood pressure is quite low.Mr.Henry is normally hypertensive.This description is consistent with
A)pericarditis.
B)early repolarization.
C)inferior MI complicated by a right ventricular infarction.
D)extensive anterior MI complicated by cardiogenic shock.

Question

Quizplus · Accepted Answer

The ST segment elevations in leads II, III, aVF, and V₃-4R along with reciprocal ST depression in leads I, aVL, and V₁-4 suggest an inferior MI complicated by a right ventricular infarction. The low blood pressure is indicative of cardiogenic shock, which can occur as a complication of an extensive myocardial infarction. Pericarditis and early repolarization do not typically cause ST segment elevations in the same leads as seen in this case.

MrHenry Has ST Segment Elevations in II,III,and AVF Along with Reciprocal