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Myocardial Infarction: Difference between revisions
→The location of the infarct
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{| class="wikitable" | {| class="wikitable" | ||
|- | |- | ||
|+''' | |+'''Help with the localisation of a myocardial infarct''' | ||
|- | |- | ||
! | !localisation | ||
!ST | !ST elevation | ||
!Reciproke ST | !Reciproke ST depression | ||
! | !coronary artery | ||
|- | |- | ||
| [[# | | [[#Anterior Wall|anterior wall]] (anterior) | ||
| V1-V6 | | V1-V6 | ||
| | | None | ||
| LAD | | LAD | ||
|- | |- | ||
| [[# | | [[#Septal|septal]] | ||
| V1-V4, | | V1-V4, disappearance of septum Q in leads V5,V6 | ||
| | | none | ||
| LAD | | LAD | ||
|- | |- | ||
| [[# | | [[#Lateral|lateral]] | ||
| I, aVL, V5, V6 | | I, aVL, V5, V6 | ||
| II,III, aVF | | II,III, aVF | ||
| RCX | | RCX or MO | ||
|- | |- | ||
| [[# | | [[#inferior|inferior]] (inferior) | ||
| II, III, aVF | | II, III, aVF | ||
| I, aVL | | I, aVL | ||
| RCA (80%) | | RCA (80%) or RCX (20%) | ||
|- | |- | ||
| [[# | | [[#posterior|posterior]] (posterior) | ||
| V7, V8, V9 | | V7, V8, V9 | ||
| | | high R in V1-V3 with ST depression V1-V3 > 2mm (mirror view) | ||
| RCX | | RCX | ||
|- | |- | ||
| | | right ventricle | ||
| V1, V4R | | V1, V4R | ||
| I, aVL | | I, aVL | ||
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{{clr}} | {{clr}} | ||
The localisation of the occlusion can be adequately visualized using a coronary angiogram (CAG). On the CAG report, the place of the occlusion is often graded with a number (for example LAD(7)) using the classification of the American Heart Association.<cite>AHACAG</cite> | |||
===Anterior wall=== | ===Anterior wall=== | ||