Normal ECG

Normal electrocardiogram showing normal sinus rhythm at a rate of 75 beats/min, a PR interval of 0.14 sec, a QRS interval of 0.10 sec, and a QRS axis of approximately 75.

Acute transmural anterior wall myocardial infarction

ST elevation in some or all of the precordial leads is characteristic of an acute anterior wall infarct.

Acute anteroseptal myocardial infarction

ST segment elevation in V1 and V2 is characteristic of an acute anteroseptal infarct. There is also reciprocal ST segment depression in V5 and V6.

Acute anterolateral transmural myocardial infarction

ST elevation is prominent in leads I, aVL, V5, and V6 in patients with an acute anterolateral infarct.

Acute lateral transmural myocardial infarction

ST elevation in leads I and aVL is characteristic of an acute lateral wall infarct. Reciprocal ST depression is evident in this case in the inferior leads (II, III, and aVF) and in V1.

Acute inferior transmural myocardial infarction

ST segment elevation in leads II, III, and aVF is characteristic of an acute inferior infarct. Reciprocal ST segment depression is present in this case in leads V1 to V4, and aVL.

Chronic anterior wall myocardial infarction

A chronic anterior wall infarction is diagnosed by the presence of initial deep and broad Q waves in any of the precordial leads; in this case they are present in leads V1 to V4.

Chronic lateral wall myocardial infarction

A chronic lateral wall infarction is characterized by the presence of initial Q waves which are deep and broad in leads 1 and aVL.

Chronic inferior wall myocardial infarction

A chronic inferior wall infarct is characterized by the presence of initial Q waves which are deep and broad in the inferior leads 2, 3, aVF.

Chronic posterior wall myocardial infarction

A chronic posterior wall infarct is characterized by a tall R wave in V1 (R/S >1.0). There is also a rightward axis.