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 Inferior ST depression ST elevation in aVL Mid-anterior MI Dr Smith's ECG Blog CC BY-NC
Thrombus propagation on 10 serial Prehospital ECGs: Can you explain the progression? 27802

This ECG is from a patient of unknown age who presented with chest pain.

In the ECGquest archives, this ECG has been tagged with: - Chest pain Dyspnoea 12-Lead Wandering baseline Anterior ST depression Lateral ST elevation Dr Smith's ECG Blog CC BY-NC
Posterolateral OMI resulting in VT, then R-on-T phenomenon and VF 27468

This ECG is from a man in his 50s who presented with 1 hour of chest pain and shortness of breath. This was his triage ECG.

In the ECGquest archives, this ECG has been tagged with: - Chest pain Dyspnoea 12-Lead Anterior ST depression Inferior ST elevation Lateral ST elevation Regular Acute Lateral MI Acute Posterior MI Dr Smith's ECG Blog CC BY-NC
Posterolateral OMI resulting in VT, then R-on-T phenomenon and VF – third ECG after electrical cardioversion 27576

This ECG is from a man in his 50s who presented with 1 hour of chest pain and shortness of breath. This was his repeat ECG after electrical cardioversion.

In the ECGquest archives, this ECG has been tagged with: - Dyspnoea Hypotension 12-Lead Anterior ST depression Inferior ST depression Normal Axis Reverse Takotsubo Takotsubo cardiomyopathy Dr Smith's ECG Blog CC BY-NC
An Ischemic ECG and Bedside Echo shows diffuse dysfunction but with Apical Sparing 27464

This ECG is from a man in his 40s who presented with dyspnoea, hypotension and hypoxia. There was no chest pain. A chest xray showed diffuse pulmonary infiltrates, in a pattern consistent with pulmonary oedema.

In the ECGquest archives, this ECG has been tagged with: - Chest pain 12-Lead Anterior ST depression Inferior ST elevation Normal Axis Normal rate Acute Inferior MI Acute Lateral MI Acute Posterior MI ECG of the Week CC-BY-NC-SA
ECG of the Week – 6th August 2018 – Interpretation 26165

This ECG is from a woman in her 70s who presented with 2 hours of central chest pain, on a background of hypertension and hypercholesterolaemia.

In the ECGquest archives, this ECG has been tagged with: - Chest pain Dyspnoea Palpitations 12-Lead Anterior ST depression Acute Posterior MI Dr Smith's ECG Blog CC BY-NC
A middle aged man with ST depression and a narrow window of opportunity 19984
In the ECGquest archives, this ECG has been tagged with: - Cardiac arrest 12-Lead Anterior ST depression ST elevation in aVR Atrial fibrillation Multi-vessel disease Dr Smith's ECG Blog CC BY-NC
Cardiac arrest #3: ST depression, Is it STEMI? or is he an ACCESS Trial Candidate? 19557
In the ECGquest archives, this ECG has been tagged with: - Cardiac arrest Dyspnoea 12-Lead Anterior ST depression Inferior ST depression Lateral ST elevation Wide QRS Acute Lateral MI Multi-vessel disease Dr Smith's ECG Blog CC BY-NC
Another Cardiac Arrest – Is it OMI this time? Use your skills from the previous post! 19471

This ECG is from a male in his 40s who developed sudden shortness of breath and arrested soon after. This was the initial ECG after 5 shocks for VT/VF when he was intubated and without any spontaneous movements.

This ECG shows wide QRS with massive ST depression in V1-5, II, II, aVF and ST elevation in I and aVL caused by acute posterolateral MI. The ST segments were initially misinterpreted as being part of the wide QRS complexes.

In the ECGquest archives, this ECG has been tagged with: - Cardiac arrest Dyspnoea 12-Lead Anterior ST depression Inferior ST depression Lateral ST elevation ST elevation in a PVC Wide QRS Acute Lateral MI Multi-vessel disease Dr Smith's ECG Blog CC BY-NC
Another Cardiac Arrest – Is it OMI this time? Use your skills from the previous post! Repeat 23min later. 29174

This ECG is from a male in his 40s who developed sudden shortness of breath and arrested soon after. This was the initial ECG after 5 shocks for VT/VF when he was intubated and without any spontaneous movements.

This ECG shows high lateral ST elevation. Within the PVCs there is excessive discordant ST elevation in I and aVL, as well as excessive depression in II, III, aVF, V5 and V6. The cause was an acute posterolateral MI. The ST segments were initially misinterpreted as being part of the QRS complexes.