can anyone tell me why there is depression in lead I and aVL | Figure 1

mfd229

Paramedic

can anyone tell me why there is depression in lead I and aVL, but elevation in V5 and V6? It was my understanding that these 4 leads all look at the same part of the heart.

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patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?