- Douglas Wong (2011) - The ST Elevation Song! (What to Look for on an EKG), (Accessed: 07/09/2019)
This ECG is from an elderly woman who presented with chest pain and shortness of breath.
This ECG shows ST elevation in V2 with hyperacute T waves in V2-3. Even though this does not meet STEMI criteria, it is highly suspicious. Serial troponins did rise, pain was ongoing and the ECG evolved to meet STEMI criteria. A 100% mid-LAD occlusion was found to be the cause. Echo showed widespread wall motion abnormalities and reduced ejection fraction.
This ECG is from a woman in her 70s who presented with central chest pain. This was the initial ECG.
This ECG shows ST elevation in V1-2 with ST depression in V4-6 as well as I, II and aVF. R wave progression is also poor. V1 is concerning for a hyperacute T wave. The chest pain worsened and the ECG changes evolved to meet STEMI criteria. Troponin was elevated. Catheterisation found a 100% proximal LAD occlusion.