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By M.elkhatib
 The coronary arteries arise from the to 
openings in the aorta called right and 
left ostiums. 
 The blood then passed through the 
coronary arteries to the cardiac muscle 
 The de oxygenated blood is returned to 
the heart via a network of coronary 
veins, arterioles and capillaries through 
the coronary sinus to the right atrium.
 Initial assessment is done via an ECG 
 The ECG can tell us which part of the heart 
muscle is ischemic or damaged 
 This also corresponds with which coronary 
arteries are affected
 The right coronary artery supplies 
 The right ventricle, inferior and posterior wall 
 It also supplies the SA and AV node
 Supplies the anterior and septal wall of the 
left ventricle
 Supplies the posterior wall 
 Lateral wall 
 Inferior wall (in 10% of the population
 ST segment point of interest when thinking 
about myocardial ischemia or injury
 Ischemia - ST depression and T wave 
inversion 
 Injury - ST elevation 
 Infarction - ST elevation 
 Q Wave - old infarct
 The exchange of pottasium and sodium is 
what leads to an electrical impulse
Coronary,12 ECG elkhatib

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Coronary,12 ECG elkhatib

  • 2.
  • 3.  The coronary arteries arise from the to openings in the aorta called right and left ostiums.  The blood then passed through the coronary arteries to the cardiac muscle  The de oxygenated blood is returned to the heart via a network of coronary veins, arterioles and capillaries through the coronary sinus to the right atrium.
  • 4.
  • 5.  Initial assessment is done via an ECG  The ECG can tell us which part of the heart muscle is ischemic or damaged  This also corresponds with which coronary arteries are affected
  • 6.  The right coronary artery supplies  The right ventricle, inferior and posterior wall  It also supplies the SA and AV node
  • 7.  Supplies the anterior and septal wall of the left ventricle
  • 8.  Supplies the posterior wall  Lateral wall  Inferior wall (in 10% of the population
  • 9.
  • 10.
  • 11.  ST segment point of interest when thinking about myocardial ischemia or injury
  • 12.  Ischemia - ST depression and T wave inversion  Injury - ST elevation  Infarction - ST elevation  Q Wave - old infarct
  • 13.
  • 14.
  • 15.  The exchange of pottasium and sodium is what leads to an electrical impulse