Anterior MI

This is part of: Myocardial Infarction

ECG-characteristics:[1]

ST-elevation in leads V1-V6, I and aVL. Maximum elevation in V3, maximal depression in III
later: pathological Q-wave in the precordial leads V2 to V4-V5.

Anterolateral infarct caused by occlusion of the LAD.

Encomprises the anterior part of the heart and a part of the ventricular septum. Is supplied by blood by the LAD. Can lead to a cardiac aneurysm if not treated timely.

Examples

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  A typical example of an acute anterior wall infarction. ST elevation in leads I, AVL and V2-V5. Reciprocal depressions in the inferior leads (II,III,AVF)

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  Acute MI with proximal LAD occlusion

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  Large acute MI with LAD occlusion

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  Acute MI with LAD occlusion

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  A 2 weeks old anterior infarction with Q waves in V2-V4 and persisting ST elevation, a sign of formation of a cardiac aneurysm.

References

1. Wung SF and Kahn DY. A quantitative evaluation of ST-segment changes on the 18-lead electrocardiogram during acute coronary occlusions. J Electrocardiol. 2006 Jul;39(3):275-81. DOI:10.1016/j.jelectrocard.2005.10.007 |