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    ECG Changes in Myocardial Infarction

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    ginaul
    This document provides an overview of using electrocardiograms (ECGs) to diagnose myocardial infarctions (MIs). It explains that a 12-lead ECG is needed to properly diagnose an MI, as it provides views of the entire heart, unlike a rhythm strip. ST elevation is a key indicator of an MI. The document details how different ECG leads provide views of different areas of the heart, allowing localization of MIs to the anterior, lateral, or inferior walls. It provides examples of ECGs demonstrating anterior, inferior, and anterolateral MIs and explains how to interpret the location based on which leads show ST elevation. The goal is to teach recognition of MIs on 12-lead ECG

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    ECG Changes in Myocardial Infarction

    Uploaded by

    ginaul
    129 views25 pages
    This document provides an overview of using electrocardiograms (ECGs) to diagnose myocardial infarctions (MIs). It explains that a 12-lead ECG is needed to properly diagnose an MI, as it provides views of the entire heart, unlike a rhythm strip. ST elevation is a key indicator of an MI. The document details how different ECG leads provide views of different areas of the heart, allowing localization of MIs to the anterior, lateral, or inferior walls. It provides examples of ECGs demonstrating anterior, inferior, and anterolateral MIs and explains how to interpret the location based on which leads show ST elevation. The goal is to teach recognition of MIs on 12-lead ECG

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    This document provides an overview of using electrocardiograms (ECGs) to diagnose myocardial infarctions (MIs). It explains that a 12-lead ECG is needed to properly diagnose an MI, as it provides views of the entire heart, unlike a rhythm strip. ST elevation is a key indicator of an MI. The document details how different ECG leads provide views of different areas of the heart, allowing localization of MIs to the anterior, lateral, or inferior walls. It provides examples of ECGs demonstrating anterior, inferior, and anterolateral MIs and explains how to interpret the location based on which leads show ST elevation. The goal is to teach recognition of MIs on 12-lead ECG

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    129 views25 pages

    ECG Changes in Myocardial Infarction

    Uploaded by

    ginaul
    This document provides an overview of using electrocardiograms (ECGs) to diagnose myocardial infarctions (MIs). It explains that a 12-lead ECG is needed to properly diagnose an MI, as it provides views of the entire heart, unlike a rhythm strip. ST elevation is a key indicator of an MI. The document details how different ECG leads provide views of different areas of the heart, allowing localization of MIs to the anterior, lateral, or inferior walls. It provides examples of ECGs demonstrating anterior, inferior, and anterolateral MIs and explains how to interpret the location based on which leads show ST elevation. The goal is to teach recognition of MIs on 12-lead ECG

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 25

    ECG Changes in myocardial infarction by

    Chukwujindu Oputa-Onwusa

    Course Objective
    To recognize an acute myocardial
    infarction on a 12-lead ECG.

    Learning Modules
    Diagnosing a Myocardial Infarction
    Advanced 12-Lead Interpretation

    Diagnosing an MI
    To diagnose a myocardial infarction you
    need to go beyond looking at a rhythm
    strip and obtain a 12-Lead ECG.
    12-Lead
    ECG

    Rhythm
    Strip

    The 12-Lead ECG


    The 12-Lead ECG sees the heart
    from 12 different views.
    Therefore, the 12-Lead ECG helps
    you see what is happening in different
    portions of the heart.
    The rhythm strip is only 1 of these 12
    views.

    The 12-Leads
    The 12-leads include:
    3 Limb leads
    (I, II, III)
    3 Augmented leads
    (aVR, aVL, aVF)
    6 Precordial leads
    (V1- V6)

    Views of the Heart


    Some leads get a
    good view of the:
    Anterior portion
    of the heart

    Inferior portion
    of the heart

    Lateral portion
    of the heart

    ST Elevation
    One way to
    diagnose an
    acute MI is to
    look for
    elevation of
    the ST
    segment.

    ST Elevation (cont)
    Elevation of the
    ST segment
    (greater than 1
    small box) in 2
    leads is
    consistent with a
    myocardial
    infarction.

    Anterior View of the Heart


    The anterior portion of the heart is best
    viewed using leads V1- V4.

    Anterior Myocardial Infarction


    If you see changes in leads V1 - V4
    that are consistent with a myocardial
    infarction, you can conclude that it is
    an anterior wall myocardial infarction.

    Putting it all Together


    Do you think this person is having a
    myocardial infarction. If so, where?

    Interpretation
    Yes, this person is having an acute anterior
    wall myocardial infarction.

    Other MI Locations
    Now that you know where to look for an
    anterior wall myocardial infarction lets
    look at how you would determine if the MI
    involves the lateral wall or the inferior wall
    of the heart.

    Other MI Locations
    First, take a look
    again at this
    picture of the heart.

    Anterior portion
    of the heart

    Inferior portion
    of the heart

    Lateral portion
    of the heart

    Other MI Locations
    Second, remember that the 12-leads of the ECG look at different
    portions of the heart. The limb and augmented leads see
    electrical activity moving inferiorly (II, III and aVF), to the left (I,
    aVL) and to the right (aVR). Whereas, the precordial leads see
    electrical activity in the posterior to anterior direction.

    Limb Leads

    Augmented Leads

    Precordial Leads

    Other MI Locations
    Now, using these 3 diagrams lets figure where
    to look for a lateral wall and inferior wall MI.
    Limb Leads

    Augmented Leads

    Precordial Leads

    Anterior MI
    Remember the anterior portion of the heart is
    best viewed using leads V1- V4.
    Limb Leads

    Augmented Leads

    Precordial Leads

    Lateral MI
    So what leads do you think
    the lateral portion of the
    heart is best viewed?

    Limb Leads

    Leads I, aVL, and V5- V6

    Augmented Leads

    Precordial Leads

    Inferior MI
    Now how about the inferior
    portion of the heart?

    Limb Leads

    Leads II, III and aVF

    Augmented Leads

    Precordial Leads

    Putting it all Together


    Now, where do you think this person is
    having a myocardial infarction?

    Inferior Wall MI
    This is an inferior MI. Note the ST elevation
    in leads II, III and aVF.

    Putting it all Together


    How about now?

    Anterolateral MI
    This persons MI involves both the anterior wall
    (V2-V4) and the lateral wall (V5-V6, I, and aVL)!

    End of Module V
    Acute Myocardial Infarction
    Proceed to Module V Practice Quiz
    on WebCT

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