Inferior acute ischemic pattern with ST elevation
A Tracing That Needs Every Lead
Age, sex, symptoms, and the reason for recording are not supplied.
Look for
- ST elevation in an inferior distribution.
- Changes to compare across contiguous leads.
Where to look. Compare II, III, aVF, then opposing leads; use the TP segment as the baseline when visible.
The ST-elevation distribution suggests acute inferior ischemia. Interpret the ECG alongside the history, serial tracings, and other investigations.
Standard leads show the inferior territory. Right ventricular involvement needs right-sided leads or other evidence.
References & provenance
The ECG Made Easy, 9e, ch. 5, PDF 129–138; The ECG Made Practical, 7e, ch. 6, p. 197–200.
Inferior and RtV MI 12 lead.jpg
Inferior and RtV MI 12 lead.jpg — James Heilman, MD — Wikimedia Commons — CC BY-SA 4.0 — https://commons.wikimedia.org/wiki/File:Inferior_and_RtV_MI_12_lead.jpg. Indiquer toute modification. CC BY-SA 4.0
Adaptation: cropping and removal of headers/annotations outside the tracing where applicable; metadata removed. Waveforms have not been redrawn.
Compared with the published source; no independent clinical validation is claimed.
Original annotations & limitations
Aspect décrit comme infarctus inférieur et ventriculaire droit
12 lead ECG showing inferior and right ventricular infarct
Les 12 dérivations standard peuvent montrer l’atteinte inférieure; ne pas demander de confirmer le ventricule droit sans dérivations droites dédiées ou autre donnée.