Chest leads

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In the ECGquest archives, this ECG has been tagged with: - Chest pain Chest leads Anterior ST elevation Hyperacute T waves Terminal QRS distortion Normal vs. abnormal anterior ST elevation Dr Smith's ECG Blog CC BY-NC
A 40-something healthy male with transient chest squeezing

This ECG is from a man in his 40s who presented with intermittent chest tightness, shortness of breath and diaphoresis.

This ECG shows ST elevation in V1-6 and hyperacute T waves out of proportion to the size of the QRS. There is terminal QRS distortion in V3. The cause was an acute proximal LAD occlusion.

In the ECGquest archives, this ECG has been tagged with: - Chest pain Chest leads Hyperacute T waves Acute Anterior MI Dr Smith's ECG Blog CC BY-NC
Serial Evolving ECGs all diagnostic of LAD OMI, but never meet STEMI criteria

This ECG is from a man in his 60s who presented with chest pain

This ECG shows anterior hyperacute T waves due to a proximal LAD occlusion.

In the ECGquest archives, this ECG has been tagged with: - Chest pain Chest leads Double speed 50 mm/sec Hyperacute T waves Dr Smith's ECG Blog CC BY-NC
Hyperacute T-waves and Concordant ST Elevation seen in PVCs only

This ECG is from a man in his 50s who had chest pain. His only risk factor for ischemia was hypertension.

This ECG shows bigeminy with PVCs showing concordant ST elevation in V2 and hyperacute T waves in V4-6.

In the ECGquest archives, this ECG has been tagged with: - Chest pain Chest leads Concordant ST elevation Excessive discordant ST elevation Wide QRS Ventricular pacemaker Acute Anterior MI Dr Smith's ECG Blog CC BY-NC
Anterior MI in paced rhythm, dismissed by cardiologist, patient died.

This ECG is from an elderly male who presented with chest pain. He has a pacemaker. This was his second prehospital ECG.

This ECG shows ventricular paced rhythm with excessive discordant ST elevation in V3 as well as concordant ST elevation in V2 and V4. The cause was most likely a proximal LAD or left main occlusion. This was missed and the patient died.