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 Posterior MI criteria : 

  • Horizontal STD in V2-3
  • Tall, broad R waves (> 30ms) in V2-3
  • Dominant R wave (R/S ratio > 1) in V2
  • Upright terminal portions of the T waves in V2-3

 

ST-segment-V2-PMI.jpg

V2 Horizontal STD

 

21122322_10209963815836924_982238814861895412_o.jpg

* 即是後壁的 Reciprocal change : 

  • ST elevation -> ST depression
  • Q waves -> R waves
  • Terminal T-wave inversion -> an upright T wave


     

 - Posterior infarction accompanies 15-20% of STEMIs
 - Usually occurring in the context of an inferior or lateral infarction.
 - Isolated posterior MI is less common (3-11% of infarcts)


1414.jpg

The degree of ST elevation seen in V7-9 is typically modest
– note that only 0.5mm of ST elevation is required
   to make the diagnosis of posterior MI!

 

 

https://lifeinthefastlane.com/ecg-library/pmi/

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