Anterior ST depression

Anterior ST depression occurs in leads V3 and V4.

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ECG Library (54)

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In the ECGquest archives, this ECG has been tagged with: - Chest pain 12-Lead Anterior ST depression Acute Inferior MI Acute Posterior MI Serial ECGs & Dynamic Changes Dr Smith's ECG Blog CC BY-NC
A man in his 70s with chest pain during a bike ride 31934

This ECG is from a man in his 70s who presented with chest pain that started during bike riding.

This ECG shows subtle ST depression in V2-6 and ST elevation in III. He had multi vessel disease with a near-occlusive culprit RCA lesion.

In the ECGquest archives, this ECG has been tagged with: - Chest pain 12-Lead Anterior ST depression Inferior ST elevation Wide QRS LPFB RBBB Acute Inferior MI Acute Posterior MI Dr Smith's ECG Blog CC BY-NC
Teach your learners: when the QRS is wide, the J-point will hide, so trace it down and copy it over! 31813

This ECG is from a middle aged man who presented with chest pain and diaphoresis while exercising. He had a VSD repair at age 6.

This ECG shows sinus tachycardia with RBBB + LPFB. ST elevation in III and aVF with reciprocal ST depression in aVL. ST depression in V2-5. The cause was inferoposterior MI, due to severe triple vessel disease and a culprit 100% circumflex occlusion.

In the ECGquest archives, this ECG has been tagged with: - 12-Lead Anterior ST depression Acute Posterior MI Dr Smith's ECG Blog CC BY-NC
A female in her 60s with sudden chest pressure 31276

This ECG is from a female in her 60s who presented with sudden chest tightness, nausea and diaphoresis.

This ECG shows ST depression in V1-3 and ST elevation in V6. The cause was a posterior MI.

In the ECGquest archives, this ECG has been tagged with: - Chest pain 12-Lead Anterior ST depression Hyperacute T waves Acute Anterior MI Dr Smith's ECG Blog CC BY-NC
A 40 year old man with chest pain since last night 31175

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.

In the ECGquest archives, this ECG has been tagged with: - Chest pain 12-Lead Anterior ST depression Inferior ST elevation Pathological Q waves Acute Inferior MI Acute Posterior MI Multi-vessel disease Dr Smith's ECG Blog CC BY-NC
Acute MI, pain onset 24-48 hours ago. Should the patient go for emergent angiogram/PCI? 30678

This ECG is from a man in his 60s who presented with chest pain for 48h with diaphoresis.

This ECG shows inferior ST elevation with reciprocal depression in aVL and I. ST depression in V2-4. Deep Q waves inferior leads and tall R waves V1-3. The cause was a completed infarction with 2 likely culprits (RCA and circumflex).

In the ECGquest archives, this ECG has been tagged with: - Chest pain 12-Lead Anterior ST depression Inferior ST elevation Reciprocal ST depression Acute Inferior MI Acute Posterior MI Right ventricular MI ECG Guru CC-BY-NC-SA
Instructors’ Collection ECG: Inferior Wall M.I. With Atrial Fibrillation or Atrial Flutter 29691

This ECG is from a man in his 70s who presented with chest pain. He had a history of COPD.

This ECG shows massive inferior ST elevation with widespread ST depression. The most likely cause was an acute inferior infarct.

In the ECGquest archives, this ECG has been tagged with: - Chest pain 12-Lead Anterior ST depression Acute Posterior MI Dr Smith's ECG Blog CC BY-NC
How much time are you willing to wait for OMI to become STEMI (if it ever does)? 29547

This ECG is from a man in his 60s who presented with chest pain on a background of stroke and hypertension. This was the initial ECG.

This ECG shows ST depression in V2-5 due to posterior MI.

In the ECGquest archives, this ECG has been tagged with: - Chest pain Posterior leads Anterior ST depression ST elevation in posterior leads V7-9 Acute Posterior MI Dr Smith's ECG Blog CC BY-NC
How much time are you willing to wait for OMI to become STEMI (if it ever does)? 29735

This ECG is from a man in his 60s who presented with chest pain on a background of stroke and hypertension. This was the initial ECG.

This ECG shows ST depression in V2-3 and ST elevation in posterior leads V7-9 (leads labelled V4-6) due to posterior MI.

In the ECGquest archives, this ECG has been tagged with: - 12-Lead Anterior ST depression Inverted T waves R in V1 RVH Dr Smith's ECG Blog CC BY-NC
ST Depression and T-wave inversion in V2 and V3. 29544

This ECG is from a middle aged male dialysis patient who was found disorganised and paranoid.

This ECG shows ST depression and T wave inversion in V2-3 due to right ventricular hypertrophy.

In the ECGquest archives, this ECG has been tagged with: - Chest pain Dyspnoea 12-Lead Absent P waves Anterior ST depression Extreme tachycardia Inferior ST elevation Narrow QRS Normal Axis Reciprocal ST depression Regular Tachycardia Atrial flutter Multi-vessel disease Dr Smith's ECG Blog CC BY-NC
Arrhythmia? Ischemia? Both? Electricity, drugs, lytics, cath lab? You decide. 28056

This ECG is from a man in his 60s who presented with intermittent shortness of breath and chest pressure over the past few days. This was his initial ECG.

This ECG shows a regular narrow complex tachycardia around 200 bpm, without P waves, with marked ST elevation in inferior leads and ST depression in anterior leads and aVL. The cause was thought to be atrial flutter from newly started flecainide. He also underwent angiography and had stents inserted to the left circumflex and right coronary arteries.

In the ECGquest archives, this ECG has been tagged with: - Chest pain Dyspnoea 12-Lead Anterior ST depression Inferior ST elevation Narrow QRS Normal Axis Normal P waves Reciprocal ST depression Regular Tachycardia Sinus tachycardia Multi-vessel disease Dr Smith's ECG Blog CC BY-NC
Arrhythmia? Ischemia? Both? Electricity, drugs, lytics, cath lab? You decide. Repeat 1 min later. 28734

This ECG is from a man in his 60s who presented with intermittent shortness of breath and chest pressure over the past few days. This was his repeat ECG after the rhythm changed.

This ECG shows a sinus tachycardia with ST elevation in inferior leads and ST depression in anterior leads and aVL. He underwent angiography and had stents inserted to the left circumflex and right coronary arteries.

In the ECGquest archives, this ECG has been tagged with: - 12-Lead Nonspecific baseline artefact Anterior ST depression Inferior ST depression Inverted T waves R in V1 Regular Right Axis Deviation Tall P waves Normal Sinus Rhythm Right atrial enlargement ECG Interpretation CC-BY-NC-SA
ECG Blog #156 (LVH – RVH – LAA – RAA – Strain – Ischemia) 27950