STEMI ECG - EB Medicine
STEMI ECG - EB Medicine
Jan 25, 2023
ebmedicine.net
Exploring Posterior and Septal STEMI: Posterior STEMI: Posterior STEMI often accompanies inferior or lateral infarctions and can be tricky to diagnose due to its subtle presentation on a standard 12-lead ECG. Key indicators include: - Standard 12-lead ECG: Look for ST-segment depression in the anteroseptal leads (V1-V3). - Posterior Leads (V7-V9): Confirm with ST-segment elevation in these leads. - Clinical Features: May include **hypokinesis and akinesis in the posterior segments of the left ve
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📉ECG Localization of the Culprit Artery in STEMI: Key Patterns ✨ @cardiobeatby_beat t A refined guide for precise localization: · RCA Occlusion: ST↓ I; ST↑ III > II. · Proximal (before RV branches): ST↑ ≥1mm in V4R. · LCx Occlusion: ST↑ II ≥ III; ST isoelectric/elevated in I; ST↓ V4R. · Posterior Extension: Dominant ST↓ V1-V3 (especially V2-V3). · LAD Occlusion: · Proximal (pre-septal & diagonal): ST↑ aVR aVL; Reciprocal ST↓ in inferior leads; ST↑ V1-V4. · Distal: ST↓ aVR; ST↑ in inferior leads
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📉ECG Localization of the Culprit Artery in STEMI: Key Patterns ✨ …
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Posterior Wall STEMI: Key Facts 🔹 Affected Artery: Left Circumflex (LCx) or Posterior Descending Artery (PDA) in RCA-dominant hearts. 🔹 ECG Clues: ST depression (V1–V3) → confirm with posterior leads (V7–V9). 🔹 Deadly Complications: - Mitral regurgitation (ruptured papillary muscle). - Ventricular septal rupture (3–5 days post-MI). - LV aneurysm/thrombus → embolism risk. 🚨 Mortality high without urgent intervention! #Cardiology #STEMI #HeartAttack #HeartHealth #MedicalEducation #ECG #HeartFa
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