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He was alert and oriented but anxious. Auscultation revealed an S1, S2 without S3, S4, or murmur. He was in NSR without evidence of heart block. No jugular venous distension was noted. His breath sounds were clear to auscultation. Gastrointestinal and genitourinary examinations were normal. A 12-lead electrocardiogram (ECG) was obtained. Mr. Jackson had never been hospitalized but had received outpatient treatment in an alcoholic treatment center. While undergoing treatment, he was told that he had hypertension, but no medications were prescribed. Relevant family history included: father diabetes, hypertension, died of MI at age 48, paternal grandmother had several MIs, died of CVA at age 66; and male cousin on father’s side died of an MI at age 35. Mr. Jackson admitted to smoking one package of cigarettes a day for the past 15 years. His cholesterol and triglyceride levels on admission were normal. He had no history of diabetes, but his serum glucose level on admission was 132. His initial 12 lead ECG showed ST elevations in leads V1-6 and in leads II, III, and AVF. 1. What location on the 12 lead ECG would the physician know is causing Mr. Jackson issues?
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HEALTH SCIENCE
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