STEMI-1

Published: April 23rd, 2015

Category: STEMI

41402Report:

100% Left Circumflex occlusion

2 stents placed

 

Teaching:

  • Posterior MI
    • Accompanies 15-20% of STEMIs
    • Isolated Posterior MI is less common
    • ECG findings in V1-V3
      • Horizontal ST depression
      • Tall R waves
      • Upright T waves
      • Dominant R wave in V2 (R/S ratio > 1)
    • Tip
      • Flip ECG over and hold up to light, depressed ST will become ST elevation because of posterior nature
      • Can obtain posterior ECG