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Man Finds Worst Way to Get Out of Shoveling Snow

Clinician Reviews. 2016 February;26(2):32-33
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ANSWER
The correct answer is normal sinus rhythm, acute anterior myocardial infarction, and inferolateral injury.

A P wave for every QRS and a QRS for every P wave at a rate between 60 and 100 beats/min are indicative of normal sinus rhythm.

Acute anterior myocardial infarction is evidenced by the significant Q waves and ST elevations in leads I and V2 to V4 and inferolateral injury by ST elevations in limb leads II, III, and aVF and precordial leads V5 and V6.

Subsequent cardiac catheterization revealed an occlusion of the proximal left anterior descending coronary artery, as well as significant lesions in the posterior descending artery and a marginal branch of the circumflex coronary artery.