STEMIs.

There ST segment elevation in the inferior leads II, III, aVF. Lateral ST depression.This area is supplied by the right coronary artery.

The LAD supplies much of the anterior wall of the heart so requires early reperfusion.

Somewhat atypical gross ST elevation with some mild ST depression inferiorly. Know as the "widow maker".

This is a high lateral STEMI with ST elevation 1, aVL and V2 along with ST depression in the inferior leads. This is known as the "South Africa flag sign". For further explanation google LIFTL South Africa flag sign. (Thanks Dr Matt Bragg).

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.

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.

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.

Greg Page, the yellow wiggle, collapsed on stage with a cardiac arrest.. Luckily he survived to drive the Big Red Car again.

Gross ST elevation anterolaterally as well as some ST depression inferiorly. The patient is in atrial fibrillation.