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2014年7月9日 星期三

[EKG] Ischemia? Infarction?

1. RV-infarction likely:
(a) STE in lead III > II
(b) STE in lead V1 > V2
(c) STD in lead V2 +STE or isoelectric in lead V1

2. WPW mimicking as AMI

(a) INFERIOR leads有large Q-wave   ==> IMI
(b) V1有large R-wave                         ==> PMI

3. STE in aVR

(a) + aVL: Left-Main
(b) + V1: Left-Main or proximal-LAD, 但若aVR > V1: Left-Main

4. Reciprocal changes (STD + TWI) in aVL:
(a) Inf. MI
(b) Ant. MI
(c) LVH
(d) LBBB
(e) Digitalis use

5. New Tall T-wave in V1: NEW-UPright T-wave in V1 + T-wave:V1>V6
(a) Ischemia (LCx or RCA)
(b) LVH
(c) LBBB
(d) High left ventricular voltage (Young athlete)
(e) Normal variant

6. Posterior-MI: 看lead V1~V3有無 (STD + UPright-T + Tall R-wave)