STEMIs.
What sort of STEMI does this ECG show?
There ST segment elevation in the inferior leads II, III, aVF. Lateral ST depression.This area is supplied by the right coronary artery.
If the left anterior descending artery was blocked at the blue dot what would you expect to see on the ECG.
The LAD supplies much of the anterior wall of the heart so requires early reperfusion.
What artery has been blocked in this mans ECG?
Somewhat atypical gross ST elevation with some mild ST depression inferiorly. Know as the "widow maker".
What artery has been blocked causing this STEMI?
The lateral wall is affected and you can see some inferior ST depression.
This is Jim Fixx who wrote the best selling book "The Complete book of Running". How did he die?
He had been a heavy smoker with a terrible family history of heart disease. Took up running and became a guru of running. However ironically he had a cardiac arrest whilst running at the age of 52 years.
How would you describe this ECG?
ST elevation inferiorly with ST depression V1 to V3 is an inferioposterior STEMI. Often these patients are hypotensive and respond to a bolus of IV fluid. The patient had a big juicy blocked right coronary artery.
A 32yr old lady has atypical chest pain. What does this ECG show?
Benign Early Depolarisation causes mild ST elevation with tall T-waves mainly in the precordial leads.
Is a normal variant commonly seen in young, healthy patients.
There is often notching of the J-point, the “fish-hook” pattern, which you can see here in lead V4.
Which of these Wiggles had a cardiac arrest on stage?
Greg Page, the yellow wiggle, collapsed on stage with a cardiac arrest.. Luckily he survived to drive the Big Red Car again.
What type of STEMI does this ECG show?
Gross ST elevation anterolaterally as well as some ST depression inferiorly. The patient is in atrial fibrillation.
What do Tommy Cooper (pictured), Sid James and Ian Cognito all have in common?
