What is an inferior STEMI?

What is an inferior STEMI?

an inferior STEMI. An anterior STEMI is the front wall of the heart, and the most serious. A posterior STEMI is the back wall of the heart. An inferior STEMI is the bottom wall of the heart.

Which leads on ECG are inferior?

The arrangement of the leads produces the following anatomical relationships: leads II, III, and aVF view the inferior surface of the heart; leads V1 to V4 view the anterior surface; leads I, aVL, V5, and V6 view the lateral surface; and leads V1 and aVR look through the right atrium directly into the cavity of the …

What leads does a STEMI show in?

Classically, STEMI is diagnosed if there is >1-2mm of ST elevation in two contiguous leads on the ECG or new LBBB with a clinical picture consistent with ischemic chest pain. Classically the ST elevations are described as “tombstone” and concave or “upwards” in appearance.

What leads are elevated in anterior STEMI?

The ECG findings of an acute anterior myocardial infarction wall include: ST segment elevation in the anterior leads (V3 and V4) at the J point and sometimes in the septal or lateral leads, depending on the extent of the MI. This ST segment elevation is concave downward and frequently overwhelms the T wave.

What are inferior leads?

Lead II, aVF and III are called inferior limb leads, because they primarily observe the inferior wall of the left ventricle (Figure 18, coordinate system in upper panel). Lead aVL, I and –aVR are called lateral limb leads, because they primarily observe the lateral wall of the left ventricle.

What causes an inferior STEMI?

Inferior STEMI is usually caused by occlusion of the right coronary artery, or less commonly the left circumflex artery, causing infarction of the inferior wall of the heart [6, 7]. Upon ECG analysis, inferior STEMI displays ST-elevation in leads II, III, and aVF.

How do you identify an inferior STEMI?

Inferior STEMI:

  1. Marked ST elevation in II, III and aVF with early Q-wave formation.
  2. Reciprocal changes in aVL.
  3. ST elevation in lead III > II with reciprocal change present in lead I and ST elevation in V1-2 suggests RCA occlusion with associated RV infarction: This patient should have right-sided leads to confirm this.

What does ischemia look like on an ECG?

The most common ECG sign of myocardial ischemia is flat or down-sloping ST-segment depression of 1.0 mm or greater. This report draws attention to other much less common, but possibly equally important, ECG manifestations of myocardial ischemia.

What are the Anteroseptal leads?

Anteroseptal MI on ECG usually is characterized by the presence of ST-elevations in V1-V3 leads acutely followed by the development of Q waves in V1-V3 precordial leads. The presence of Q-waves in these leads is classically referred to as an age-indeterminate anteroseptal infarct.

Which leads are affected in anterior MI?

When a patient has an anterior-wall MI, you’ll see the indicative changes in leads V1 through V4 and the reciprocal changes in lateral leads I and aVL and inferior leads II, III, and aVF.

What are the inferior leads in 12 lead ECG?