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Summary ECG assesment of myocardial ischemia and myocardial infarction

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ECG assessment of myocardial ischemia and myocardial infarction Examples and explanation of how to recognize the pathology on the EKG ECG assessment of myocardial ischemia and myocardial infarction Examples and explanations of how to recognize the pathology on the ECG

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ECG Myocardial ischemia and infarction
ECG example with ST elevation




Ischemia (4 signs)
1. Hyperacute T waves (early sign)




2. ST-segment elevation/depression




3. Q waves

, 4. T wave inversion




• 4 signs of ischemia should be present in 2 contiguous (side-by-side) leads




1. ST Elevation and depression
Which part is ischemic

Myocardial part ST Elevation ST Reciprocal Depression
Inferior STEMI • II • I
• III • aVL
• aVF
Lateral STEMI • I • III
• aVL • aVR
• V5
• V6
Anterior STEMI • V2 • II
• V3 • III
• V4 • aVF

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Written in
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