Inferior ST elevation

Inferior ST elevation is found in leads II, III and aVF.

See also: ST segment

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In the ECGquest archives, this ECG has been tagged with: - Chest pain Dyspnoea Inferior ST elevation Wide QRS Interventricular conduction defect Acute Inferior MI 12-Lead Dr Smith's ECG Blog CC BY-NC
IVCD, Saddleback STE in III, with reciprocal STD in aVL: Is it pseudoOMI or OMI? Echo with Speckle Tracking gives the answer.

This ECG is from a woman in her 70s who presented with acute chest pain and dyspnoea on a background of hypertension and congestive heart failure.

This ECG shows inferior ST elevation with an abnormally wide QRS (intraventricular conduction delay). The cause was an acute inferior MI.

In the ECGquest archives, this ECG has been tagged with: - Dyspnoea Inferior ST elevation Reciprocal ST depression Acute Inferior MI 12-Lead Dr Smith's ECG Blog CC BY-NC
A Patient with Respiratory Failure and a Computer “Normal” ECG

This ECG is from a patient of unknown age who had recurrent presentations for shortness of breath due to asthma.

This ECG shows subtle ST elevation in III with reciprocal change in aVL. The cause was inferior MI.

In the ECGquest archives, this ECG has been tagged with: - Chest pain Incorrect Machine Interpretation Inferior ST elevation Reciprocal ST depression Acute Inferior MI 12-Lead Dr Smith's ECG Blog Dr Ken Grauer CC BY-NC
Chest pain resolved, and a “Normal” ED ECG

This ECG is from a middle aged male who presented with chest pain. He was pain free at the time of this initial ECG.

This ECG shows subtle inferior ST elevation with reciprocal change in aVL. The cause was a large inferior infarct.

In the ECGquest archives, this ECG has been tagged with: - Chest pain Inferior ST elevation Reciprocal ST depression Acute Inferior MI 12-Lead EMergucate CC-BY-NC-SA
ECG of the Week – 5th March 2019 – Interpretation

This ECG is from a man in his 50s who presented with left sided chest pain.

This ECG shows ST elevation in inferior leads with reciprocal changes in aVL and I

In the ECGquest archives, this ECG has been tagged with: - Hypotension Inferior ST elevation 12-Lead ECG of the Week CC-BY-NC-SA
ECG of the Week – 25th February 2019 – Interpretation

This ECG is from a man in his 70s who presented hypotensive and febrile with suspected intra-abdominal sepsis.

This ECG shows ST elevation in II, III, V4-6 with unusual morphology of unclear origin.

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

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: - Hyperacute T waves Inferior ST elevation Lateral ST elevation Acute Inferior MI Right ventricular MI 12-Lead Dr Smith's ECG Blog CC BY-NC
Inferolateral STEMI: is there right ventricular MI also?

This ECG is from a middle aged man who presented with 1 hour of chest pain.

This ECG shows ST elevation in inferior and lateral leads, caused by a proximal RCA occlusion.

In the ECGquest archives, this ECG has been tagged with: - Hyperacute T waves Inferior ST elevation ST elevation in V4R Acute Inferior MI Right ventricular MI Right leads Dr Smith's ECG Blog CC BY-NC
Inferolateral STEMI: is there right ventricular MI also? Right sided ECG

This ECG is from a middle aged man who presented with 1 hour of chest pain. This was a right sided ECG where V1-6 are really V1R to V6R.

This ECG shows ST elevation in inferior and right sided leads, caused by a proximal RCA occlusion.

In the ECGquest archives, this ECG has been tagged with: - Chest pain Inferior ST elevation Peaked T waves Reciprocal ST depression ST elevation in V1 Right ventricular MI 12-Lead Dr Smith's ECG Blog Dr Ken Grauer CC BY-NC
The Interventionalist Refuses Angiography, and even to speak to the Emergency Physician – repeat ECG pain free

This ECG is from a middle aged patient who presented with chest pain of uncertain duration. This was the repeat ECG when pain returned.

This ECG shows ST elevation in V1, II, III and aVF with reciprocal ST depression in aVL. The cause was a proximal RCA occlusion. The T waves were peaked but the potassium was normal.

In the ECGquest archives, this ECG has been tagged with: - Incorrect Machine Interpretation Inferior ST elevation Reciprocal ST depression Acute Inferior MI 12-Lead Dr Smith's ECG Blog CC BY-NC
The computer calls this a “normal ECG”. We’ll just keep making this point.

This ECG is from a middle aged woman who presented with chest pain and dyspnoea that improved after nitrogylcerin.

This ECG shows subtle ST elevation in inferior leads with reciprocal changes in aVL. Troponins were positive. The computer misinterpreted the ECG as normal.

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