ST elevation in aVL

ST elevation in aVL is associated with lateral acute coronary occlusion. There may be reciprocal changes in leads III and aVF.

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In the ECGquest archives, this ECG has been tagged with: - Abdominal pain 12-Lead Anterior ST elevation Reciprocal ST depression ST elevation in aVL Acute Anterior MI Dr Smith's ECG Blog CC BY-NC
OMI Confirmed by POCUS Echo in a 50 year man 31298

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.

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 30667

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: - Abdominal pain Chest pain 12-Lead Reciprocal ST depression ST elevation in aVL Acute Lateral MI Acute Posterior MI Dr Smith's ECG Blog CC BY-NC
Epigastric pain radiating to the chest for 18 hours. ECG makes the Dx. Troponin makes the Dx. CT makes the Dx! 30216

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.

In the ECGquest archives, this ECG has been tagged with: - Chest pain 12-Lead Anterior ST depression Inferior ST depression ST elevation in aVL Mid-anterior MI Dr Smith's ECG Blog CC BY-NC
Thrombus propagation on 10 serial Prehospital ECGs: Can you explain the progression? 27802

This ECG is from a patient of unknown age who presented with chest pain.

In the ECGquest archives, this ECG has been tagged with: - Chest pain 12-Lead Anterior ST elevation Inferior ST depression ST elevation in aVL LAFB Mid-anterior MI Dr Smith's ECG Blog CC BY-NC
Thrombus propagation on 10 serial Prehospital ECGs: Can you explain the progression? 27900

This ECG is from a patient of unknown age who presented with chest pain. This was the repeat ECG 19 minutes later.

In the ECGquest archives, this ECG has been tagged with: - Chest pain 12-Lead Serial 12-lead Anterior ST elevation Inferior ST depression ST elevation in aVL Acute Anterior MI Dr Smith's ECG Blog CC BY-NC
Prehospital OMI recognized immediately by a fantastic paramedic: 6 – shortly before VF arrest 26573

This ECG is from a woman in her 60s who presented with chest pain and feeling clammy, on a background of hypertension and high cholesterol. This ECG was recorded just before the patient had a VF arrest.

In the ECGquest archives, this ECG has been tagged with: - 12-Lead ST elevation in aVL Acute Lateral MI Dr Smith's ECG Blog CC BY-NC
A man in his 40s with chest pain 25933

This ECG is from a man in his 40s who presented with 6 hours of chest pain described as heaviness, on a background of smoking, hypertension and a family history of MI at a similar age.

In the ECGquest archives, this ECG has been tagged with: - Chest pain 12-Lead Inferior ST depression Inverted T waves Lateral ST depression ST elevation in aVL Dr Smith's ECG Blog CC BY-NC
Chest pressure during exertion, evolution of inverted T-waves and Troponins. Surprise Angiogram. 25539
In the ECGquest archives, this ECG has been tagged with: - 12-Lead Anterior ST elevation Inferior ST depression Reciprocal ST depression ST elevation in aVL ST elevation in aVR Tall QRS LVH Dr Smith's ECG Blog CC BY-NC
Syncope, History of Coronary Disease, and ST Elevation: Should Medics Activate the Cath Lab? 18447
In the ECGquest archives, this ECG has been tagged with: - 12-Lead Anterior ST elevation Inferior ST depression Reciprocal ST depression ST elevation in aVL ST elevation in aVR Tall QRS LVH Dr Smith's ECG Blog CC BY-NC
Syncope, History of Coronary Disease, and ST Elevation: Should Medics Activate the Cath Lab? 18621
In the ECGquest archives, this ECG has been tagged with: - 12-Lead Coved ST elevation ST elevation in aVL Normal Sinus Rhythm LBBB ECG Interpretation CC-BY-NC-SA
ECG Blog #146 – (BBB – Primary ST-T Changes) 17366

This ECG is from a patient of unknown age who presented with acute chest pain.

This ECG shows LBBB with concordant ST changes in III, aVF and aVL most likely due to acute MI. The patient was not sent to the cath lab. They arrested and could not be resuscitated.