Diffuse subendocardial ischaemia

Diffuse subendocardial ischaemia causes widespread ST depression. There may be ST elevation in aVR, which in this case is a reciprocal change. There are many causes, including acute coronary syndromes, GI bleed / anaemia, sepsis / shock, respiratory failure, severe hypertension…

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In the ECGquest archives, this ECG has been tagged with: - 12-Lead Hyperacute T waves ST elevation in aVR Widespread ST depression Diffuse subendocardial ischaemia Dr Smith's ECG Blog CC BY-NC
Chest pain, pelvic and abdominal pain, hypotension, and severe ischemia on the ECG 31749

This ECG is from an elderly male who presented with lethargy and pelvic pain. He was hypotensive (66/31), pulse 80.

This ECG shows widespread ST depression and reciprocal ST elevation in aVR due to diffuse subendocardial ischemia. The most likely cause was septic shock.

In the ECGquest archives, this ECG has been tagged with: - 12-Lead ST elevation in aVR Widespread ST depression Diffuse subendocardial ischaemia Multi-vessel disease Dr Smith's ECG Blog CC BY-NC
ST-Elevation in aVR with diffuse ST-Depression: An ECG pattern that you must know and understand! 18206
In the ECGquest archives, this ECG has been tagged with: - Chest pain 12-Lead Widespread ST depression Diffuse subendocardial ischaemia LITFL
Dynamic ST depression in a patient with chest pai 778