22 practice 3

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22 practice 3

  1. 1. 12-Lead Electrocardiography STEMI vs. STE-Mimic Adam Thompson, EMT-P, A.S.
  2. 2. 73 y/o Male Diaphoresis
  3. 3. 73 y/o MaleRate & Rhythm
  4. 4. Rate: 71 Normal Sinus - 1st AVB73 y/o Male Axis
  5. 5. Rate: 71 Normal Sinus - 1st AVB 73 y/o Male Axis -90 ERAD LAD180 0 RAD Normal 90
  6. 6. Rate: 71 Normal Sinus - 1st AVB73 y/o Male Axis
  7. 7. Rate: 71 Normal Sinus - 1st AVB 73 y/o Male Axis aVF --I I+ aVF +
  8. 8. Rate: 71 Normal Sinus - 1st AVB73 y/o Male Axis
  9. 9. Rate: 71 Normal Sinus - 1st AVB 73 y/o Male Axis aVF --I I+ aVF +
  10. 10. Rate: 71 Normal Sinus - 1st AVB 73 y/o Male Axis aVF --I I+ aVF +
  11. 11. Rate: 71 Normal Sinus - 1st AVB 73 y/o Male Axis -90 ERAD LAD180 0 RAD Normal 90
  12. 12. Rate: 71 Normal Sinus - 1st AVB Right Axis Deviation73 y/o Male Axis
  13. 13. Rate: 71 Normal Sinus - 1st AVB Right Axis Deviation73 y/o Male Early R-Wave Progression Axis
  14. 14. Rate: 71 Normal Sinus - 1st AVB Right Axis Deviation 73 y/o Male Early R-Wave Progression Frontal Plane Axis Axis Precordial Axis ERAD Right Axis Pathological Early Transition Late Transition Deviation Left Axis Counterclockwise Clockwise -90 to 180 90 to 180 Deviation Rotation Rotation -30 to -90• Ventricular • May be normal • Pregnancy • Posterior wall • SometimesRhythm • LPFB • LAFB infarction Normal,• Paced Rhythm • Pulmonary • WPW • RVH especially in• Dextrocardia disease • RBBB women • Pulmonary• Electrolyte • RVH disease • Anterior MIderangement • RBBB • LBBB • LVH • WPW • Hyperkalemia • LAFB • Dextrocardia • Q-waves, MI • LBBB •Venrticular • Lung Disease Rhythm
  15. 15. Rate: 71 Normal Sinus - 1st AVB Right Axis Deviation 73 y/o Male Early R-Wave ProgressionIntervals & Morphology
  16. 16. Rate: 71 Normal Sinus - 1st AVB Right Axis Deviation 73 y/o Male Early R-Wave ProgressionIntervals & Morphology
  17. 17. Rate: 71 Normal Sinus - 1st AVB Right Axis Deviation 73 y/o Male Early R-Wave ProgressionIntervals & Morphology
  18. 18. Rate: 71 Normal Sinus - 1st AVB Right Axis Deviation 73 y/o Male Early R-Wave ProgressionIntervals & Morphology
  19. 19. Rate: 71 Normal Sinus - 1st AVB Right Axis Deviation 73 y/o Male Early R-Wave Progression Intervals Frontal Plane Axis & Morphology Precordial Axis ERAD Right Axis Pathological Early Transition Late Transition Deviation Left Axis Counterclockwise Clockwise -90 to 180 90 to 180 Deviation Rotation Rotation -30 to -90• Ventricular • May be normal • Pregnancy • Posterior wall • SometimesRhythm • LPFB • LAFB infarction Normal,• Paced Rhythm • Pulmonary • WPW • RVH especially in• Dextrocardia disease • RBBB women • Pulmonary• Electrolyte • RVH disease • Anterior MIderangement • RBBB • LBBB • LVH • WPW • Hyperkalemia • LAFB • Dextrocardia • Q-waves, MI • LBBB •Venrticular • Lung Disease Rhythm
  20. 20. Rate: 71 Normal Sinus - 1st AVB Right Axis Deviation73 y/o Male Early R-Wave Progression RBBB STE-Mimics
  21. 21. Rate: 71 Normal Sinus - 1st AVB Right Axis Deviation73 y/o Male Early R-Wave Progression RBBB STE-Mimics
  22. 22. Rate: 71 Normal Sinus - 1st AVB Right Axis Deviation73 y/o Male Early R-Wave Progression RBBB STE-Mimics
  23. 23. Rate: 71 Normal Sinus - 1st AVB Right Axis Deviation 73 y/o Male Early R-Wave Progression RBBBIschemia, Injury, Infarct
  24. 24. Rate: 71 Normal Sinus - 1st AVB Right Axis Deviation 73 y/o Male Early R-Wave Progression RBBBIschemia, Injury, Infarct
  25. 25. Rate: 71 Normal Sinus - 1st AVB Right Axis Deviation73 y/o Male Early R-Wave Progression RBBB
  26. 26. Rate: 71 Normal Sinus - 1st AVB Right Axis Deviation 73 y/o Male Early R-Wave Progression RBBB Antero-Septal Infarct Ischemia, Injury, InfarctB
  27. 27. Practice• More practice in the next lesson…

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