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  • Ischemia Injury Necrosis 1. ST

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    Denis Aleynikov
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    1. Ischemia is characterized by T wave inversion in all leads where the QRS is upright and T wave downright where the QRS is downright. 2. Injury shows ST elevation or depression, with ST elevation persisting in chest leads indicating ventricular aneurysm. 3. Necrosis is identified by Q waves greater than 1mm in width and 1/3 the size of the QRS complex, indicating cell death in the myocardial region supplied by the corresponding coronary artery.

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    1. Ischemia is characterized by T wave inversion in all leads where the QRS is upright and T wave downright where the QRS is downright. 2. Injury shows ST elevation or depression, with ST elevation persisting in chest leads indicating ventricular aneurysm. 3. Necrosis is identified by Q waves greater than 1mm in width and 1/3 the size of the QRS complex, indicating cell death in the myocardial region supplied by the corresponding coronary artery.

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    3 views1 page

    Ischemia Injury Necrosis 1. ST

    Uploaded by

    Denis Aleynikov
    1. Ischemia is characterized by T wave inversion in all leads where the QRS is upright and T wave downright where the QRS is downright. 2. Injury shows ST elevation or depression, with ST elevation persisting in chest leads indicating ventricular aneurysm. 3. Necrosis is identified by Q waves greater than 1mm in width and 1/3 the size of the QRS complex, indicating cell death in the myocardial region supplied by the corresponding coronary artery.

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    of 1

    Ischemia Injury Necrosis

    1. T inversion in all leads (T 1. ST↑ 3.Q wave 1mm ( 0.04sec-1s.s)


    wave upright when QRS 2. ST depression (sub width, 1/3 of QRS (Any + spike before
    upright and T wave down QRS this is R and –spike down next is S)
    endocardial MI, angina,
    right where QRS downright) Omit AVR
    stress test, digitalis)
    3. Q in V1-V4 Ant.MI ( ant.
    descending ) Large Q+
    ST↑

    Q in V1-V3- Post. MI (RCA) Large


    R + ST↓

    Q in I, AVL-Lat. MI (LCA
    circumflex)

    Q in ii, III AVF- Inf. MI (RCA or


    LCA)

    V2-V6 T inversion always ST↑ persistent in chest leads q <1mm in I, AVL, ii, III AVF,
    pathology, Brugada sudden with previous ↑ and doesn’t go V5-V6 is OK
    death Vfib ( RBBB V1-V3+ST↑ in to baseline→ Ventr. Aneur.)
    V1-V3)
    No MI in LBBB (V5V6 2 peaked
    QRS wide ≥ 3mm.
    RAD (I AVF but to but for Post
    Hemi (Inf MI) Q1S3
    LAD (I AVF kiss ) for Ant. Hemi
    (Ant MI) S1Q3

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