Template:ACS anatomical correlation: Difference between revisions

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{| class="wikitable"
{| class="wikitable"
|-
|-
| '''''ST Elevation'''''  
| '''''Ischemic Changes'''''  
| '''Location'''  
| '''Location'''  
| '''Coronary Artery'''
| '''Coronary Artery'''
|-
|-
| V1-V2
| STE V1-V3, TWI <br>
Q waves in V1-V3 over time
| Septal  
| Septal  
| Septal branch
| Septal branch
|-
|-
| V2-V4  
| STE V2-V4  
| Anterior  
| Anterior  
| LAD
| LAD
|-
|-
| I, aVL, V5, V6  
| STE I, aVL, V5, V6<br>
STD inf leads
| Lateral  
| Lateral  
| Circumflex
| Circumflex
|-
|-
| I, aVL, V2-6  
| STE I, aVL, V2-6  
| Anterolateral  
| Anterolateral  
| LAD + circumflex = Left main or 2 critical lesions
| LAD + circumflex = Left main or 2 critical lesions
|-
|-
| II, III, aVF  
| STE II, III, aVF<br>
STD in aVL (most common lead to see reciprocal change)
| Inferior  
| Inferior  
| RCA
| RCA
|-  
|-  
|  
|  
*V1>V2
STE V1 (only lead looking at RV)
*&nbsp;III &gt; II,
<br>
*STD in V2 & not in V1
STE III &gt; II (III more R facing)
<br>  
<br>
 
STE V1 &gt; V2, STE V1 + STD V2
<br>


| Right ventricle  
| Right ventricle  
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|-
|-
|  
|  
ST Depression in&nbsp;V1, V2, V3;  
STD in&nbsp;V1, V2, V3; <br>
 
R&gt;S in V1 <br>
R&gt;S in V1  
Tall R waves in V1-V3 (Q waves on back of heart) w/ upright TWs
 
<br>  
<br>  
 
| Posterior aka Inferolateral
| Posterior  
| RCA (90%), LCA (10%)
| RCA (90%), LCA (10%)
|-
|-
| avR (STE)
| STE avR>V1<br>
Doesn't apply in SVT
| Anterolateral  
| Anterolateral  
| Left Main
| Left Main
|}
|}

Latest revision as of 00:03, 6 November 2016

ACS Anatomical Correlation Chart

Ischemic Changes Location Coronary Artery
STE V1-V3, TWI

Q waves in V1-V3 over time

Septal Septal branch
STE V2-V4 Anterior LAD
STE I, aVL, V5, V6

STD inf leads

Lateral Circumflex
STE I, aVL, V2-6 Anterolateral LAD + circumflex = Left main or 2 critical lesions
STE II, III, aVF

STD in aVL (most common lead to see reciprocal change)

Inferior RCA

STE V1 (only lead looking at RV)
STE III > II (III more R facing)
STE V1 > V2, STE V1 + STD V2

Right ventricle RCA

STD in V1, V2, V3;
R>S in V1
Tall R waves in V1-V3 (Q waves on back of heart) w/ upright TWs

Posterior aka Inferolateral RCA (90%), LCA (10%)
STE avR>V1

Doesn't apply in SVT

Anterolateral Left Main