Reciprocal ST depression
- 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
- Houghton, AR and Gray, D (2014) - Making Sense of the ECG: A Hands-on Guide, 4th edn, Taylor and Francis
- Goldberger, A (2006) - Clinical Electrocardiography: A Simplified Approach, 9th edn, Elsevier
- Strong Medicine (2014) - Intro to EKG Interpretation - Myocardial Infarctions (Part 1 of 2), (Accessed: 05/09/2019)
- Strong Medicine - Intro to EKG Interpretation - Myocardial Infarctions (Part 2 of 2), (Accessed: 05/09/2019)
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 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 man in his 50s who presented with intermittent epigastric burning pain for 4 days that had become constant that morning.
This ECG shows ST elevation in aVL, I and V2-4 with reciprocal ST depression inferiorly. POCUS showed severe hypokinesis of the anterior wall. The cause was a large anterior MI.
This ECG is from a patient of unknown age who presented with a syncopal episode and vague chest pain. This was the second ECG taken 24 min later.
This ECG shows subtle inferior ST elevation with reciprocal ST depression in aVL. The cause was a 100% distal RCA occlusion.
This ECG is from a middle aged man who presented with 18 hours of epigastric pain radiating to the chest.
This ECG shows ST elevation in aVL with reciprocal ST depression in inferior leads and V3-4, consistent with high lateral MI and posterior involvement.
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.
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.
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.
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.
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.