ST elevation in aVR

ST elevation in aVR is classically associated with left main occlusion, but can also be caused by severe triple vessel disease or diffuse subendocardial ischemia.

See also: ST segment

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References

ECG Library (51)

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In the ECGquest archives, this ECG has been tagged with: - Chest pain 12-Lead ST elevation in aVR ST elevation in V1 Widespread ST depression Left main occlusion Dr Smith's ECG Blog CC BY-NC
How does acute left main occlusion present on the ECG?

This ECG is from a woman in her 50s who presented with 3 days of intermittent chest pain that became worse on the day of presentation, with diaphoresis and radiation to the left arm, as well as abdominal pain.

This ECG shows widespread ST depression with ST elevation in aVR and V1-2, due to a 100% left main occlusion.

In the ECGquest archives, this ECG has been tagged with: - 12-Lead ST elevation in aVR Widespread ST depression Multi-vessel disease Dr Smith's ECG Blog CC BY-NC
An 80 year old man in VF arrest

This ECG is from an elderly man who presented in VF cardiac arrest and had return of spontaneous circulation after 4 shocks.

This ECG shows junctional bradycardia with diffuse ST depression and ST elevation in aVF. The cause was severe triple vessel disease.

In the ECGquest archives, this ECG has been tagged with: - 12-Lead Long QT ST elevation in aVR Tall U waves Widespread ST depression Hypokalemia Dr Smith's ECG Blog CC BY-NC
Diffuse ST depression, and ST elevation in aVR. Left main, right?

This ECG is from a middle aged male who presented with diffuse pain on a background of sickle cell disease.

This ECG shows LVH, diffuse ST depression with ST elevation in aVR and apparrent prolonged QTc due to U waves. The cause was hypokalemia (2.6).

In the ECGquest archives, this ECG has been tagged with: - Palpitations 12-Lead Absent P waves Extreme tachycardia Narrow QRS Normal Axis Regular ST elevation in aVR Tachycardia Widespread ST depression SVT ECG of the Week CC-BY-NC-SA
ECG of the Week – 7th January 2019 – Interpretation

This ECG is from a woman in her 20s who presented with palpitations for an hour.

This ECG shows a regular narrow complex tachycardia (SVT) with secondary ST segment changes due to the extreme rate (205 bpm).

In the ECGquest archives, this ECG has been tagged with: - 12-Lead ST elevation in aVR Widespread ST depression Dr Smith's ECG Blog CC BY-NC
The 4 Physiologic Etiologies of Shock, and the 3 Etiologies of Cardiogenic Shock

This ECG is from a woman in her 60s who presented with hypotension, bradycardia, chest pain and back pain. She had a history of aortic aneurysm, mechanical aortic valve and peripheral vascular disease.

This ECG shows widespread ST depression with ST elevation in aVR. The cause was aortic valve thrombosis.

In the ECGquest archives, this ECG has been tagged with: - Chest pain Dyspnoea 12-Lead ST elevation in aVR Widespread ST depression Premature atrial complex Sinus tachycardia Aortic stenosis Dr Smith's ECG Blog CC BY-NC
An elderly man with sudden cardiogenic shock, diffuse ST depressions, and STE in aVR

This ECG is from a man in his 80s who presented with sudden onset chest pain and dyspnoea.

In the ECGquest archives, this ECG has been tagged with: - Loss of consciousness 12-Lead Inverted T waves Normal Axis Regular S1Q3T3 ST elevation in aVR Tachycardia Sinus tachycardia Acute right heart strain Pulmonary embolism Dr Smith's ECG Blog CC BY-NC
Comatose after opiate overdose, with tachycardia and hypotension
In the ECGquest archives, this ECG has been tagged with: - Cardiac arrest 12-Lead Anterior ST depression ST elevation in aVR Atrial fibrillation Multi-vessel disease Dr Smith's ECG Blog CC BY-NC
Cardiac arrest #3: ST depression, Is it STEMI? or is he an ACCESS Trial Candidate?
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?
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?
In the ECGquest archives, this ECG has been tagged with: - 12-Lead ST elevation in aVR Widespread ST depression Diffuse subendocardial ischaemia Multi-vessel disease Dr Smith's ECG Blog CC BY-NC
ST-Elevation in aVR with diffuse ST-Depression: An ECG pattern that you must know and understand!