CARDIOLOGY - ECG LIBRARY
Case 45
55 F 2h chest pain. ECG abnormalities
Expected Response
Inferior STEMI – ST Elevation III > II
Posterior Involvement with early R waves, ST depression and upright T waves V 2-3
Likely RV involvement with ‘relative ST elevation’ in V1 compared to V2 (ie lack of ST depression)
Accelerated Junctional rhythm with rate 78/min and evidence retrograde P waves in ST segment
= Inferoposterior STEMI with RV involvement Meets criteria for reperfusion
Posterior Involvement with early R waves, ST depression and upright T waves V 2-3
Likely RV involvement with ‘relative ST elevation’ in V1 compared to V2 (ie lack of ST depression)
Accelerated Junctional rhythm with rate 78/min and evidence retrograde P waves in ST segment
= Inferoposterior STEMI with RV involvement Meets criteria for reperfusion