Lateral ST elevation
- Rowlands, A and Sargent, A (2019) - The ECG Workbook, 4th edn, M&K Publishing
- Thaler, MS (2018) - The Only EKG Book You'll Ever Need, 9th edn, Lippincott Williams and Wilkins
- (2015) - ECG Interpretation Made Incredibly Easy!, 6th edn, Lippincott Williams & Wilkins
- Goldberger, A (2006) - Clinical Electrocardiography: A Simplified Approach, 9th edn, Elsevier
- Douglas Wong (2011) - The ST Elevation Song! (What to Look for on an EKG), (Accessed: 07/09/2019)
- Easy EKG (2015) - Easy EKG: STEMI, (Accessed: 07/09/2019)
- USMLEVideoLectures (2008) - Most Important ECG Findings in Major Diseases, (Accessed: 28/06/2019)
Variations: ST segment
- Normal ST segment
- Tombstone ST elevation
- Downsloping ST depression
- Upsloping ST depression
- Straightened ST segment
- Flat ST segment
- Saddleback ST elevation
- Horizontal ST depression
- Widespread ST elevation
- Inferior ST elevation
- Anterior ST elevation
- Lateral ST elevation
- Anterior ST depression
- Widespread ST depression
- ST elevation in aVR
- ST elevation in posterior leads V7-9
- ST elevation in V4R
- Inferior ST depression
- Septal ST elevation
- Lateral ST depression
- Reciprocal ST depression
- ST elevation in aVL
- Coved ST elevation
- Concordant ST elevation
- Discordant ST changes
- ST elevation in III>II
- ST elevation in V1
- ST elevation in a PVC
- Excessive discordant ST elevation
- Concordant ST depression in V1-V3
- Pseudonormalised ST segment
- Excessive discordant ST depression.
- Shark fin ST elevation
This ECG is from a woman in her 70s who presented with sudden nausea, diaphoresis and brief syncope.
This ECG shows subtle concave ST elevation in inferior leads and V4-6. The angiogram was normal, troponins negative and echo showed no wall motion abnormality. The most likely cause was a normal variant.
This ECG is from a man in his 50s who presented with waxing and waning chest pain starting at rest.
This ECG shows ST elevation V1-5, I, II and aVL with reciprocal depression in III. The cause was an anterior MI.
This ECG is from a man in his 70s who presented with chest pain and nausea on a background of previous MI.
This ECG shows sinus rhythm with PVCs and subtle ST elevation in I, aVL and V2 and reciprocal ST depression in III and aVF. Angiogram was negative. The most likely cause was a brief LAD occlusion that spontaneously reperfused.
This ECG is from a young woman who presented with sudden pulmonary oedema. This ECG was recorded just before she arrested.
This ECG shows sinus tachycardia, RBBB, LAFB and ST elevation in V2-6, I and aVL. The cause was a 100% left main occlusion.
This ECG is from a man in his 60s who developed hypokalemia during a complicated hospital admission including GI bleed and anaemia.
This ECG shows inverted T waves and inverted U waves with a very prolonged QT. There is subtle ST elevation in inferior and lateral leads. Troponin was elevated, echo showed regional wall motion abnormalities apical and anteriorly. Angiogram showed severe multivessel disease and an apical LAD occlusion of uncertain age. The most likely cause was either a small infarction or takotsubo.
This ECG is from a woman in her 60s who presented with dyspnoea, on a background of chronic respiratory disease.
This ECG shows RBBB with ST elevation in I and aVL. All previous ECGs were identical, so this was most likely her baseline ST elevation. Troponins and echo were normal.
This ECG is from a man in his 50s who presented with intermittent chest pain and shortness of breath for the past 3 days with vomiting.
This ECG shows RBBB with inferior and lateral ST elevation due to an acute MI (occluded OM2).
This ECG is from an ECG from a patient of unknown age, recorded just before the patient went into VF arrest.
This ECG shows massive concave ST elevation in inferior and lateral leads with ST depression in V2. There is also first degree heart block. The most likely cause was an acute MI.
This ECG is from a man in his 20s who presented with sudden onset chest pain.
This ECG shows lateral ST elevation. Troponin was elevated. Echo showed a regional wall motion abnormality. Angiogram was normal. The cause was myocarditis.
This ECG is from a man in his 60s who had a witnessed sudden loss of consciousness and awakening.
This ECG shows widespread ST elevation without reciprocal ST depression. Angiography was normal.
This ECG is from a man in his 30s with unknown symptoms.
This ECG shows ST elevation (false positive) with clear J waves. Angiogram, troponins and serial ECGs were normal.
Where did they come from?
These ECGs were collected from Free Open Access Medical Education (#FOAMed) blogs, with the permission of their authors. You can find out more about each ECG's source by clicking on it.
Why are they here?
This is an experiment in digital curation. The idea is to collect resources to increase awareness and accessibility. Over time, more ECGs in the collection will be tagged to make it easier to find them and reused in new interactive quizzes.
How can I use these ECGs?
You can use these ECGs for your own learning, teaching or research - as long as you abide by the terms of each ECG's copyright licence as stipulated by the original author.