62 year old male CC: chest discomfort (update)

This discussion was moved here:

http://www.ems12lead.com/2009/07/19/62-yom-cc-chest-discomfort/

3 Comments

  • SoCal Medic says:

    Is there a way you can differentiate between the two based on the 12 Lead?

  • Tom B says:

    Good question! It sure looked like an RCA to me. I'm going to address this in an upcoming post.Tom

  • Neil Holtz says:

    Yes. you can certainly distinguish the difference between LCx and RCA by the involvement of lead 2. It is an issue of vector of conduction of the ischemic area. I have a ton of angiograms and ACS ECG's that tell the tale. I also know how to post your dicom images too

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