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Diagrammatic representation of VSD Eisenmenger. The other Eisenmenger syndromes are not called Eisenmenger complex, only VSD Eisenmenger is called Eisenmenger complex. Large ASDs usually develop Eisenmenger syndrome, may be after decades, not like early development of Eisenmenger syndrome in VSD and PDA.
This ST-T wave pattern in lead V5 is not seen in other leads, as would be expected if this was truly a change of acute ischemia. I attributed the diffuse ST-T wave changes to LV "strain" and not ischemia. What about the R = S Phenomenon in the Inferior Leads? Conclusion: The ECG in today's case is notable for marked LVH.
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