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Silent right ventricular myocardial infarction: the Q wave never lies
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A 78 year old patient was referred for a cardiology opinion following the incidental discovery of Q waves in leads III and aVF on a 12 lead ECG (upper panel). There was also ST segment depression in leads I, aVL, V5, and V6 and electrical evidence of left ventricular hypertrophy. There was no definite history suggestive of myocardial …