Basic STEMI localisation
Acute Anterior MI
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Variations: Basic STEMI localisation
This ECG is from a man in his 50s who presented with acute chest pain.
This ECG shows anterior ST elevation with hyperacute T waves. The cause was a 100% proximal LAD occlusion.
This ECG is from a man in his 50s who presented with waxing and waning chest pain starting at rest.
This ECG shows ST elevation V1-5, I, II and aVL with reciprocal depression in III. The cause was an anterior MI.
This ECG is from a man in his 70s who presented with chest pain and nausea on a background of previous MI.
This ECG shows sinus rhythm with PVCs and subtle ST elevation in I, aVL and V2 and reciprocal ST depression in III and aVF. Angiogram was negative. The most likely cause was a brief LAD occlusion that spontaneously reperfused.
This ECG is from a man in his 50s who presented with intermittent epigastric burning pain for 4 days that had become constant that morning.
This ECG shows ST elevation in aVL, I and V2-4 with reciprocal ST depression inferiorly. POCUS showed severe hypokinesis of the anterior wall. The cause was a large anterior MI.
This ECG is from a man in his 40s who presented with chest pain and syncope after cocaine use. He had pain at the time of this ECG.
This ECG shows ST elevation in V1-5 with Q waves anterior and inferior. Brugada-like morphology in V1. The cause was an anterior MI.
This ECG is from a man in his 40s who presented with chest pain since the previous evening, associated with vomiting and diaphoresis. He had recently stopped smoking.
This ECG shows subtle disproportionately tall T waves in V2-V3 and ST depression in V3-6 with slight ST elevation in V1. The cause was a 100% proximal LAD thrombotic occlusion.
This ECG is from a middle aged male who presented with chest pain and dyspnoea. This ECG was recorded after a witnessed VF arrest, tenecteplase and multiple shocks.
This ECG shows massive anterior ST elevation due to acute anterolateral MI.
This ECG is from a man in his 60s who presented with resolving chest pain.
This ECG shows hyperacute T waves in V2-4. The cause was an 80% obstruction of the LAD with a large thrombus. An earlier ECG showed ST segment elevation.
This ECG is from a woman in her 40s who presented with 'heartburn' overnight and then worsening chest pain 1 hour prior to arrival.
This ECG shows subtle MI with inferior and anterior hyperacute T waves and some reciprocal ST depression in aVL. The cause was a complete occlusion of a wraparound LAD.
Where did they come from?
These ECGs were collected from Free Open Access Medical Education (#FOAMed) blogs, with the permission of their authors. You can find out more about each ECG's source by clicking on it.
Why are they here?
This is an experiment in digital curation. The idea is to collect resources to increase awareness and accessibility. Over time, more ECGs in the collection will be tagged to make it easier to find them and reused in new interactive quizzes.
How can I use these ECGs?
You can use these ECGs for your own learning, teaching or research - as long as you abide by the terms of each ECG's copyright licence as stipulated by the original author.