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Canadian Journal of Rural Medicine
CJRM Spring 2000 / printemps 2000

Country cardiograms case 16

Charles Helm, MD, CCFP
Tumbler Ridge, BC

CJRM 2000;5(2):85


Case presentation

A 58-year-old man presents at a small rural hospital in northern BC with chest pain consistent with ischaemia. Results of a recent ECG were normal. An ECG performed at the time of presentation shows evidence of inferior injury with posterior extension. Thrombolysis is ad-ministered, and a subsequent ECG is performed (Fig. 1). Vital signs remain stable.

     What is your interpretation?

     How should this rhythm be treated?

Fig. 1. Electrocardiogram performed after administration of thrombolysis.

For the Answer see page 96.


"Country cardiograms" is a regular feature of the Canadian Journal of Rural Medicine. In each issue we will present an electrocardiogram and discuss the case in a rural context. Please submit cases to Ms Suzanne Kingsmill, Canadian Journal of Rural Medicine, Box 1086, Shawville QC JOX 2Y0.

This article has been peer reviewed.

Correspondence to: Dr. Charles Helm, Box 1690, Tumbler Ridge BC V0C 2W0; drchelm@pris.bc.ca


© 2000 Society of Rural Physicians of Canada