ST elevation in V4R

ST elevation in lead V4R suggests right ventricular infarction. It requires the recording of the special right sided lead V4R, by moving the V4 electrode to the right 5th intercostal space in the mid-clavicular line.

See also: ST segment

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References

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In the ECGquest archives, this ECG has been tagged with: - Hyperacute T waves Inferior ST elevation ST elevation in V4R Acute Inferior MI Right ventricular MI Right leads Dr Smith's ECG Blog CC BY-NC
Inferolateral STEMI: is there right ventricular MI also? Right sided ECG

This ECG is from a middle aged man who presented with 1 hour of chest pain. This was a right sided ECG where V1-6 are really V1R to V6R.

This ECG shows ST elevation in inferior and right sided leads, caused by a proximal RCA occlusion.

In the ECGquest archives, this ECG has been tagged with: - Chest pain ST elevation in V4R Right leads ECG Guru Dawn Bean Altman Dr Ken Grauer Jason Roediger CC-BY-NC-SA
Instructors’ Collection ECG: Inferior Wall M.I. With Right Ventricular M.I. – V4R