Septal ST elevation

Septal ST elevation is found in leads V1 and V2.

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ECG Library (4)

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In the ECGquest archives, this ECG has been tagged with: - Chest pain Dyspnoea 12-Lead Hyperacute T waves Septal ST elevation Mid-anterior MI Dr Smith's ECG Blog CC BY-NC
The delay between OMI and STEMI claims yet another patient’s anterior wall 30231

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.

In the ECGquest archives, this ECG has been tagged with: - Chest pain 12-Lead Reciprocal ST depression Septal ST elevation Proximal LAD occlusion Dr Smith's ECG Blog CC BY-NC
A woman in her 70s with chest pain 28867

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.