Best of Five 2.6

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BOF: 2.6

A 56-year-old male presented with crushing central chest pain associated with nausea, vomiting and sweating. His ECG showed ST elevation and T inversion in leads II, III and AVF. He is a known diabetic and has proliferative retinopathy and in view of this thrombolysis was withheld. A few hours later he develops a tachycardia, he becomes hypotensive, his JVP is elevated. On auscultation heart sounds are soft with a fourth heart sound, lung fields are clear. In this patient which of the following leads will show the location to which the infarction has extended?

a)      Lead I

b)      AVL

c)      AVR

d)      V₄ R

e)      V₆

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