Ischemia & Infarction Flashcards
Evolution of STEMI findings… (4)
symmetric, peaked T waves
T wave inversion
ST elevation
Q waves
non-pathologic j-point elevation can be seen in what 3 leads in young healthy people?
V1, V2, V3
ST elevation must be ______ in ________ to be considered a STEMI
> 1mm in 2 conti3 guous leads
The presence of ______ is diagnostic of MI
Q waves
Isolated, deep Q waves in lead _______ is normal and never pathologic…
Lead III
any Q waves in lead _____ is NEVER significant
lead aVR
3 characteristic signs of myocardial ischemia…
inverted T waves
Tall, peaked symmetric T waves
ST depression
Peaked/hyperacute T waves must be > _____ in limb leads and > _____ in precordial leads
> 5mm limb
> 10mm precordial
What constitutes significant ST depression?
> 1mm below baseline in 2 or more contiguous leads
A flat ST segment with slight T wave inversion indicates…
subendocardial injury or infarction
3 criteria for pathologic Q waves…
> 0.04s
1/3 height of R wave
2 contiguous leads
this represents myocardial injury…
ST elevation
this represents myocardial infarct…
pathologic Q waves
What represents ischemia? (3)
T wave inversion
symmetric, peaked T waves
ST depression
ECG finding for transmural infarct…
Q waves