Lateral ST elevation

Lateral ST elevation is found in leads I, aVL, V5 and V6.

See also: ST segment

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In the ECGquest archives, this ECG has been tagged with: - 12-Lead Anterior ST elevation Lateral ST elevation Reciprocal ST depression Acute Anterior MI Dr Smith's ECG Blog CC BY-NC
5 Cardiologists said this is not a STEMI. But was it an OMI?

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.

In the ECGquest archives, this ECG has been tagged with: - Chest pain 12-Lead Hyperacute T waves Lateral ST elevation Reciprocal ST depression Acute Anterior MI Dr Smith's ECG Blog CC BY-NC
The ECG was correct. The angiogram was not.

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.

In the ECGquest archives, this ECG has been tagged with: - Cardiac arrest Dyspnoea 12-Lead Anterior ST elevation Lateral ST elevation Sinus tachycardia LAFB RBBB Left main occlusion Dr Smith's ECG Blog CC BY-NC
How does acute left main occlusion present on the ECG? Case 2

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.

In the ECGquest archives, this ECG has been tagged with: - 12-Lead Deeply inverted T waves Inferior ST elevation Inverted T waves Inverted U waves Lateral ST elevation Dr Smith's ECG Blog CC BY-NC
Bizarre T-wave inversions, with Negative U-waves and Very long QT. And a myocardial viability study.

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.

In the ECGquest archives, this ECG has been tagged with: - Chest pain 12-Lead Anterior ST elevation Hyperacute T waves Lateral ST elevation Acute Anterior MI Dr Smith's ECG Blog CC BY-NC
A Text Message in the Middle of the night. Do you give thrombolytics?

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

This ECG shows subtle ST elevation V3-6 with hyperacute T waves in V4. The cause was an acute anterior MI.

In the ECGquest archives, this ECG has been tagged with: - Dyspnoea 12-Lead Lateral ST elevation ST elevation in aVL RBBB Normal ST elevation Dr Smith's ECG Blog CC BY-NC
Two patients with RBBB

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.

In the ECGquest archives, this ECG has been tagged with: - Chest pain Dyspnoea 12-Lead Inferior ST elevation Lateral ST elevation RBBB Acute Lateral MI Dr Smith's ECG Blog CC BY-NC
Two patients with RBBB

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).

In the ECGquest archives, this ECG has been tagged with: - 12-Lead Inferior ST elevation Lateral ST elevation Acute Inferior MI Acute Lateral MI Dr Smith's ECG Blog CC BY-NC
ST segment concavity is just one small piece of the puzzle that is pattern recognition

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.

In the ECGquest archives, this ECG has been tagged with: - Chest pain 12-Lead Lateral ST elevation Myocarditis Dr Smith's ECG Blog CC BY-NC
A 20-something male with acute chest pain

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.

In the ECGquest archives, this ECG has been tagged with: - 12-Lead Anterior ST elevation Inferior ST elevation Lateral ST elevation Normal ST elevation Normal vs. abnormal anterior ST elevation Dr Smith's ECG Blog CC BY-NC
A 60-something with syncope

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.

In the ECGquest archives, this ECG has been tagged with: - 12-Lead Anterior ST elevation J wave Lateral ST elevation Normal ST elevation Normal vs. abnormal anterior ST elevation Dr Smith's ECG Blog CC BY-NC
Three EKGs shown to me – which if any need emergent reperfusion?

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.

In the ECGquest archives, this ECG has been tagged with: - Chest pain 12-Lead Lateral ST elevation Acute Lateral MI ECG Interpretation CC-BY-NC-SA
ECG Blog #162 (STEMI – Coronary Circulation – Culprit – BBB)

This ECG is from an older woman who presented with new-onset chest pain.

This ECG shows acute infero-postero-lateral STEMI.

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