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All that you need to know to diagnose MI / ACS
Different ECG changes in MI Dr. Sanoop Kumar Sherin Sabu, Earliest change Hyper acute T wave – very tall T wave MOST SPECIFIC CHANGE Grave stone sign- ST segment elevation Evolving MI Pardle sign- ST elevation with T wave inversion Old MI Pathological q wave- depth of q wave more than 25% of R wave Atypical change to be considered as an MI New onset LBBB ( Left bundle branch block) - in simple terms- wide QRS complex in V5 or V6 Hyper acute T wave Grave stone sign- ST segment elevation Pardle sign- ST elevation with T wave inversion Walls affected in MI Wall ST Elevation Reciprocal ST Depression Artery Inferior Lead 2,3, avF 1, av L RCA Lateral wall Lead 1, avL V5, V6 2, 3, av F Left Circumflex b/o LAD Septum V1. V2
