PLATE ECG-STEMI-INF · 2 SOURCE FILES

Inferior STEMI

Study the finding, then test the visual cue against the linked Review and Q-Book material.

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Inferior and right ventricular acute STEMI

Native-resolution 12-lead ECG of inferior/right ventricular acute STEMI with visible inferior-lead ST elevation.

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James Heilman, MD · CC BY-SA 3.0 · source_rechecked_this_run

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ECG 001.jpg

Native-resolution 12-lead ECG showing inferior ST elevation in II, III, and aVF.

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Credit & reuse

http://en.wikipedia.org/wiki/User:Glenlarson · CC BY-SA 3.0 · source_rechecked_this_run

License record ↗ · Media ID MED-7e9a36504a659d8950ab

Alternate smaller rendition: MED-35d834631b39ffaa5fdc ↓

01 / WHAT MATTERS ON THE EXAM

Inferior STEMI with RV involvement: ST elevation III > II and in V4R — preload-dependent; fluids, no nitrates.

02 / WHAT TO LOOK FOR

Find ST elevation in II, III, and aVF, then inspect I and aVL for reciprocal depression. Compare the available strips before calling right-ventricular involvement.

03 / WATCH OUT FOR

Inferior STEMI with hypotension and clear lungs should prompt right-sided leads for RV infarction; avoid preload-reducing nitrates and assess carefully before fluid administration.

04 / STUDY IT IN thecodexes.com SYSTEM

↗MyCodexesCV-ACS-01 · linked topic

RAcute coronary syndromes — recognition & reperfusionPage anchor pending

Q-Book connections 6

Block 1 · Q27B01-029
Block 1 · Q29B01-031
Block 1 · Q31B01-035
Practice Exam 1 · Q9E1-018
Practice Exam 1 · Q31E1-083
Practice Exam 1 · Q128E1-312

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Clinical references

Primary clinical reference 1 ↗