LV aneurysm

A left ventricular aneurysm causes persistent ST elevation 2 or more weeks after an acute infarction. On echocardiography there is paradoxical wall movement.

It can be difficult to tell apart LV aneurysm from re-infarction. An aneurysm is less likely to have dynamic or reciprocal changes and more likely to have a T:QRS ratio < 0.36 in all chest leads. An infarction is more likely to have ongoing chest pain and haemodynamic instability.

See also: STEMI Mimics

Can you add to the information on this page?

This ECG Archive is an academic, non-commercial #FOAMed project aiming to crowdsource a free open access database of ECGs and signs. If you include your personal details such as your name you will be attributed for your contribution, unless you tell us that you don't want this to happen. Personal contact details such as email addresses will not be published but may be used to email you in reply. Full project details and participant information available here.


3 ECGs found. Sort by:
per page.
Columns: per page.
In the ECGquest archives, this ECG has been tagged with: - Chest pain Anterior ST elevation Pathological Q waves LV aneurysm 12-Lead Dr Smith's ECG Blog CC BY-NC
Classic LV aneurysm (persistent ST elevation after previous MI)

This ECG is from a man in his 70s who presented with acute chest pain on a background of a recent CABG.

This ECG shows deep anterior Q waves suggesting an old infarct , with persistent ST elevation suggesting a left ventricular aneurysm.