ST segment Flashcards
Acute phase STEMI
STE and Q waves (in 50% by hour 6)
Evolving phase STEMI
deep symmetric T wave inversions
ST to baseline
Q waves persist
Resolving phase STEMI
partial/complete regression of T wave inversions
T waves persist
___ and ____ do not show reciprocal STD with their STE
Benign early repol and Pericarditis
Anterior V1-V3 reciprocal leads =
II III aVF
Lateral I aVL, V5-V6 reciprocal leads =
II III aVF
Inferior leads II III aVF reciprocal leads =
I, aVL
Posterior leads V7 V8 V9 (tall R in V1 V2) reciprocal leads =
V1-V3/V4
Anterior leads
V1-V4
Lateral leads
I aVL V5-V6
inferior leads
II III aVF
Posterior leads
V7 V8 V9 (also tall R in V1 V2)
LVH findings
S in V1 + R V5or6 > 35
R in aVL >11mm
ST elevation in V1 and V2
latreal T wave inversion
LBBB findings
anterior STE with discordant QRS
STD in lateral leads with discordant QRS
MI in LBBB findings
STE in one lead with concordant QRS
STD in V1 V2 or V3