12-Lead ECG: The Art of Interpretation (Garcia, Introduction to 12-Lead ECG) by Garcia Tomas B

Author:Garcia, Tomas B. [Garcia, Tomas B.]
Language: eng
Format: epub
Publisher: Jones & Bartlett Learning
Published: 2013-11-27T00:00:00+00:00

ECG 14-21 This is one of those ECGs that you just don’t want to go near without some clinical correlation. There is evidence of an AMI of indeterminate origin in the inferior leads — significant Q waves. Minimal ST elevation is also present in the inferior leads, but without reciprocal changes in I and aVL. The ST segments in leads V1 to V6 are markedly elevated, consistent with an AMI or a ventricular aneurysm. (Changes with an aneurysm usually do not extend through V5 to V6, so this is less likely.) The patient was having active pain. The only entity that can produce an AMI of both the right and left coronary arterial systems simultaneously is an aortic aneurysm, which you need to rule out aggressively in this patient.

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