Inferior myocardial infarction: Difference between revisions
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==EKG Examples== | ==EKG Examples== | ||
Shown below is an EKG demonstrating [[ST elevation]] in the [[Precordial lead|precordial]] and [[limb lead]]s depicting acute inferior MI. | |||
[[Image:STEMI 2.jpg|center|800px]] | |||
Copyleft image obtained courtesy of, http://en.ecgpedia.org/wiki/Main_Page | |||
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Shown below is an EKG with [[ST elevation]] in [[Electrocardiogram#Limb|II]], [[Electrocardiogram#Limb|III]], [[Electrocardiogram#Augmented limb|aVF]] (in [[Electrocardiogram#Limb|III]] > [[Electrocardiogram#Limb|II]]), [[ST depression]] in [[Electrocardiogram#Limb|I]], [[Electrocardiogram#Augmented limb|aVL]], [[Electrocardiogram#Precordial|V2]]. Tall R in [[Electrocardiogram#Precordial|V2]], otherwise normal QRS morphology. The findings are suggestive of acute posteroinferior MI. | |||
[[Image:STEMI 3.jpg|center|800px]] | |||
Copyleft image obtained courtesy of, http://en.ecgpedia.org/wiki/Main_Page | |||
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Shown below is an EKG demonstrating changes during acute inferior MI depicting [[ST elevation]] in leads [[Electrocardiogram#Limb|II]], [[Electrocardiogram#Limb|III]] and [[Electrocardiogram#Augmented limb|aVF]]. | |||
[[Image:STEMI 4.jpg|center|800px]] | |||
Copyleft image obtained courtesy of, http://en.ecgpedia.org/wiki/Main_Page | |||
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Shown below is an EKG with [[ST depression]] in [[Electrocardiogram#Precordial|V1]], [[Electrocardiogram#Precordial|V4]], [[tall R]] in [[Electrocardiogram#Precordial|V2]]. [[ST elevation]] in [[Electrocardiogram#Limb|II]], [[Electrocardiogram#Limb|III]], [[Electrocardiogram#Augmented limb|aVF]], [[Electrocardiogram#Precordial|V5]] and [[Electrocardiogram#Precordial|V6]]. | |||
[[Image:STEMI 6.jpg|center|800px]] | |||
Copyleft image obtained courtesy of, http://en.ecgpedia.org/wiki/Main_Page | |||
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Shown below is an EKG with sinus [[bradycardia]] with [[first degree AV block]] and inferior-posterior-lateral myocardial infarction. | |||
[[Image:STEMI 8.jpg|center|800px]] | |||
Copyleft image obtained courtesy of, http://en.ecgpedia.org/wiki/Main_Page | |||
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Shown below is an EKG depicting [[sinus bradycardia]] with inferior-lateral myocardial infarction. | |||
[[Image:STEMI 9.jpg|center|800px]] | |||
Copyleft image obtained courtesy of, http://en.ecgpedia.org/wiki/Main_Page | |||
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Shown below is an EKG illustrating inferior-posterior myocardial infarction with [[complete AV block]] and [[ventricular escape beat|ventricular escape rhythm]] with [[RBBB]] pattern and left axis, followed by [[sinus rhythm]]. | |||
[[Image:STEMI 13.jpg|center|800px]] | |||
Copyleft image obtained courtesy of, http://en.ecgpedia.org/wiki/Main_Page | |||
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Shown below is an EKG demonstrating [[atrial fibrillation]] and inferior-posterior myocardial infarction. | |||
[[Image:STEMI 20.jpg|center|800px]] | |||
Copyleft image obtained courtesy of, http://en.ecgpedia.org/wiki/Main_Page | |||
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Shown below is an EKG demonstrating inferior-posterior-lateral myocardial infarction with a nodal escape rhythm | |||
[[Image:STEMI 21.jpg|center|800px]] | |||
Copyleft image obtained courtesy of, http://en.ecgpedia.org/wiki/Main_Page | |||
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Shown below is an EKG demonstrating [[RBBB]] and inferior MI. Note to [[left axis deviation]]. | |||
[[Image:STEMI 22.jpg|center|800px]] | |||
Copyleft image obtained courtesy of, http://en.ecgpedia.org/wiki/Main_Page | |||
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Shown below is an EKG demonstrating lead [[Electrocardiogram#Precordial|V4R]] in a patient with [[RBBB]] and inferior MI, which clearly shows [[ST elevation]]. | |||
[[Image:STEMI 23.jpg|center|800px]] | |||
Copyleft image obtained courtesy of,http://en.ecgpedia.org/wiki/Main_Page | |||
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Shown below is an EKG demonstrating atrial fibrillation with inferior-posterior-lateral myocardial infarction and incomplete [[right bundle branch block]]. Lead I shows ST depression, suggestive of right coronary artery involvement. | |||
[[Image:STEMI 27.jpg|center|800px]] | |||
Copyleft image obtained courtesy of, http://en.ecgpedia.org/wiki/Main_Page | |||
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Shown below is an EKG showing [[ST elevation]] in inferior leads. | |||
[[Image:STEMI_30.jpg|center|800px]] | |||
Copyleft image obtained courtesy of, http://en.ecgpedia.org/wiki/File:De-Ami0007.jpg | |||
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Shown below is an EKG showing ST elevation MI. | |||
[[Image:STEMI_31.jpg|center|800px]] | |||
Copyleft image obtained courtesy of, http://en.ecgpedia.org/wiki/File:De-KJcasus13.jpg | |||
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Shown below is an EKG showing ST elevation MI. | |||
[[Image:STEMI_32.jpg|center|800px]] | |||
Copyleft image obtained courtesy of, http://en.ecgpedia.org/wiki/File:De-KJcasus16.jpg | |||
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Shown below is an EKG showing ST elevation in inferior leads. | |||
[[Image:STEMI_33.jpg|center|800px]] | |||
Copyleft image obtained courtesy of, http://en.ecgpedia.org/wiki/File:De-Ami0011.jpg | |||
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Shown below is an EKG showing ST elevation MI. | |||
[[Image:STEMI_34.jpg|center|800px]] | |||
Copyleft image obtained courtesy of, http://en.ecgpedia.org/wiki/File:De-Ami0010.jpg | |||
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Shown below is an EKG demonstrating [[sinus rhythm]]. The [[QRS]] shows [[Q wave]]s in the inferior leads which are wide (>30ms) and about 25% of the QRS height in [[aVF]]. There is also slight [[ST elevation]] in the [[inferior]] leads and [[T wave inversion]]. The EKG suggests an inferior wall infarction, probably old. (the best way to determine "old" is to see a previous cardiogram). | |||
[[Image:Old inferior wall MI 1.jpg|center|800px]] | |||
Copyleft image obtained courtesy of, http://en.ecgpedia.org/wiki/Main_Page | |||
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Shown below is an EKG demonstrating ST elevation in leads II, III and aVF and ST depression in leads V1, V2 and V3 depicting a [[posterior MI]]. | |||
[[Image:Posterior MI patient.jpg|center|800px]] | |||
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==References== | ==References== |
Revision as of 21:58, 11 March 2014
Resident Survival Guide |
ST Elevation Myocardial Infarction Microchapters |
Differentiating ST elevation myocardial infarction from other Diseases |
Diagnosis |
Treatment |
|
Case Studies |
Inferior myocardial infarction On the Web |
Directions to Hospitals Treating ST elevation myocardial infarction |
Risk calculators and risk factors for Inferior myocardial infarction |
For patient information click here
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Synonyms and keywords: Inferior MI
Overview
EKG Examples
Shown below is an EKG demonstrating ST elevation in the precordial and limb leads depicting acute inferior MI.
Copyleft image obtained courtesy of, http://en.ecgpedia.org/wiki/Main_Page
Shown below is an EKG with ST elevation in II, III, aVF (in III > II), ST depression in I, aVL, V2. Tall R in V2, otherwise normal QRS morphology. The findings are suggestive of acute posteroinferior MI.
Copyleft image obtained courtesy of, http://en.ecgpedia.org/wiki/Main_Page
Shown below is an EKG demonstrating changes during acute inferior MI depicting ST elevation in leads II, III and aVF.
Copyleft image obtained courtesy of, http://en.ecgpedia.org/wiki/Main_Page
Shown below is an EKG with ST depression in V1, V4, tall R in V2. ST elevation in II, III, aVF, V5 and V6.
Copyleft image obtained courtesy of, http://en.ecgpedia.org/wiki/Main_Page
Shown below is an EKG with sinus bradycardia with first degree AV block and inferior-posterior-lateral myocardial infarction.
Copyleft image obtained courtesy of, http://en.ecgpedia.org/wiki/Main_Page
Shown below is an EKG depicting sinus bradycardia with inferior-lateral myocardial infarction.
Copyleft image obtained courtesy of, http://en.ecgpedia.org/wiki/Main_Page
Shown below is an EKG illustrating inferior-posterior myocardial infarction with complete AV block and ventricular escape rhythm with RBBB pattern and left axis, followed by sinus rhythm.
Copyleft image obtained courtesy of, http://en.ecgpedia.org/wiki/Main_Page
Shown below is an EKG demonstrating atrial fibrillation and inferior-posterior myocardial infarction.
Copyleft image obtained courtesy of, http://en.ecgpedia.org/wiki/Main_Page
Shown below is an EKG demonstrating inferior-posterior-lateral myocardial infarction with a nodal escape rhythm
Copyleft image obtained courtesy of, http://en.ecgpedia.org/wiki/Main_Page
Shown below is an EKG demonstrating RBBB and inferior MI. Note to left axis deviation.
Copyleft image obtained courtesy of, http://en.ecgpedia.org/wiki/Main_Page
Shown below is an EKG demonstrating lead V4R in a patient with RBBB and inferior MI, which clearly shows ST elevation.
Copyleft image obtained courtesy of,http://en.ecgpedia.org/wiki/Main_Page
Shown below is an EKG demonstrating atrial fibrillation with inferior-posterior-lateral myocardial infarction and incomplete right bundle branch block. Lead I shows ST depression, suggestive of right coronary artery involvement.
Copyleft image obtained courtesy of, http://en.ecgpedia.org/wiki/Main_Page
Shown below is an EKG showing ST elevation in inferior leads.
Copyleft image obtained courtesy of, http://en.ecgpedia.org/wiki/File:De-Ami0007.jpg
Shown below is an EKG showing ST elevation MI.
Copyleft image obtained courtesy of, http://en.ecgpedia.org/wiki/File:De-KJcasus13.jpg
Shown below is an EKG showing ST elevation MI.
Copyleft image obtained courtesy of, http://en.ecgpedia.org/wiki/File:De-KJcasus16.jpg
Shown below is an EKG showing ST elevation in inferior leads.
Copyleft image obtained courtesy of, http://en.ecgpedia.org/wiki/File:De-Ami0011.jpg
Shown below is an EKG showing ST elevation MI.
Copyleft image obtained courtesy of, http://en.ecgpedia.org/wiki/File:De-Ami0010.jpg
Shown below is an EKG demonstrating sinus rhythm. The QRS shows Q waves in the inferior leads which are wide (>30ms) and about 25% of the QRS height in aVF. There is also slight ST elevation in the inferior leads and T wave inversion. The EKG suggests an inferior wall infarction, probably old. (the best way to determine "old" is to see a previous cardiogram).
Copyleft image obtained courtesy of, http://en.ecgpedia.org/wiki/Main_Page
Shown below is an EKG demonstrating ST elevation in leads II, III and aVF and ST depression in leads V1, V2 and V3 depicting a posterior MI.