tag:blogger.com,1999:blog-549949223388475481.post4049840454576735058..comments2024-03-28T14:02:08.119-05:00Comments on Dr. Smith's ECG Blog: A 21 year old with Chest painUnknownnoreply@blogger.comBlogger10125tag:blogger.com,1999:blog-549949223388475481.post-24478388197719771752015-09-04T07:26:42.531-05:002015-09-04T07:26:42.531-05:00That depends o the axis of the ST elevation, wheth...That depends o the axis of the ST elevation, whether more towards or away from aVL, or more towards or away from III. III and aVL are not exactly opposite, but 150 degrees opposite each other.Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-65537260446909281442015-09-03T18:54:36.424-05:002015-09-03T18:54:36.424-05:00Which lead affect more than other :aVL vs lead III...Which lead affect more than other :aVL vs lead III? in case of high lateral and inferior infarction .<br />i.e does STE in lead lead III affect STE in lead aVL ? and make it less elevated -isoelectric- (aVL)<br />OR does STE in lead aVL affect lead III more and make it (lead III) less elevated ( isoelectric) <br />Thanks with regards Anonymoushttps://www.blogger.com/profile/06475696764299734880noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-63575200709653562122015-09-02T20:34:36.617-05:002015-09-02T20:34:36.617-05:00Mid or proximal LAD with wraparound to inferior wa...Mid or proximal LAD with wraparound to inferior wall. If proximal, simultaneous ischemia of high lateral wall and inferior wall cancel each other out, so the aVL is isoelectric.Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-85121113641800143912015-09-02T17:59:41.868-05:002015-09-02T17:59:41.868-05:00Thank's you!Thank's you!Anonymoushttps://www.blogger.com/profile/02849505972893657360noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-57207559718633490512015-09-02T15:21:31.909-05:002015-09-02T15:21:31.909-05:00 Does the occlusion here distal LAD OR proximal... Does the occlusion here distal LAD OR proximal ?As proximal LAD occlusions often show reciprocal ST depression in the inferior leads , but when the LAD occlusion is more distal, you may not see any reciprocal inferior ST depression at all?Anonymoushttps://www.blogger.com/profile/06475696764299734880noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-22833264737383400072015-09-02T14:35:17.793-05:002015-09-02T14:35:17.793-05:00I don't see how it would, but thanks for the c...I don't see how it would, but thanks for the comment.<br />Steve SmithSteve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-50586972702998282252015-09-02T14:34:29.411-05:002015-09-02T14:34:29.411-05:00Definitely, but I wanted to emphasize features whi...Definitely, but I wanted to emphasize features which can only be acute.<br />Thanks,<br />Steve SmithSteve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-79140713458784248922015-09-02T13:38:11.790-05:002015-09-02T13:38:11.790-05:00That elevation looks really diffuse... May very w...That elevation looks really diffuse... May very well have fooled me. Could pericarditis with a misplaced v2 lead cause a similar appearance?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-84937410568944558962015-09-02T11:59:04.432-05:002015-09-02T11:59:04.432-05:001) STE inferior, lateral, ... de Winter anterior
2...1) STE inferior, lateral, ... de Winter anterior<br />2) LAD thrombus<br />3) perhaps wrap around ?<br />4) angiogramm ?<br /><br />thanks de Smith<br /><br />AlAlswissnoreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-65843416222009594092015-09-02T10:43:36.380-05:002015-09-02T10:43:36.380-05:00isn't there a also a clear Q wave in V2-V4?isn't there a also a clear Q wave in V2-V4?Anonymousnoreply@blogger.com