Widespread ST depression

Widespread ST depression occurs across many leads, typically including inferior (II, III, aVF), anterior (V2-4) and lateral (I, aVL, V5, V6) distributions.

Featured Example

References

ECG Library (41)

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In the ECGquest archives, this ECG has been tagged with: - 12-Lead Hyperacute T waves ST elevation in aVR Widespread ST depression Diffuse subendocardial ischaemia Dr Smith's ECG Blog CC BY-NC
Chest pain, pelvic and abdominal pain, hypotension, and severe ischemia on the ECG

This ECG is from an elderly male who presented with lethargy and pelvic pain. He was hypotensive (66/31), pulse 80.

This ECG shows widespread ST depression and reciprocal ST elevation in aVR due to diffuse subendocardial ischemia. The most likely cause was septic shock.

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: - Chest pain Dyspnoea 12-Lead Irregular Narrow QRS Tachycardia Tall QRS Widespread ST depression Atrial fibrillation ECG Interpretation CC-BY-NC-SA
ECG Blog #166 (ST-T – AFib – LVH – SVT)

This ECG is from a woman in her 60s who presented in acute heart failure with dyspnoea and intermittent chest discomfort.

This ECG shows atrial fibrillation, LVH and diffuse ST-T changes.

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: - Chest pain 12-Lead Widespread ST depression Hypokalemia Dr Smith's ECG Blog CC BY-NC
Chest pain and Diffuse ST depression, with STE in aVR. You probably think it is left main…..

This ECG is from a woman in her 70s who presented with very atypical chest pain lasting days that was worse with movement and palpation.

This ECG shows diffuse ST depression likely due to hypokalemia as it normalised after replacement.

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: - 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!