Monday, December 13, 2010

Right ventricular infarction---clues from the standard 12 lead

This electrocardiogram was presented in a case discussion at the Prehospital 12-Lead ECG blog. This patient had changes of acute inferior STEMI. Generally, right sided precordial leads are used to diagnose RV MI. However, clues suggesting the diagnosis are present in this standard 12 lead, one being the minimal ST elevation in lead V1, the other being the fact that the greatest magnitude of ST elevation occurs in lead III, the inferior lead which most reflects changes in the right ventricle.

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