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Thanks for your attention! Biventricular Hypertrophy A.?? Normal ECG. B.?? One ventricular hypertrophy. C.?? Biventricular Hypertrophy. Myocardial Infarction Myocardial Infarction (1) Basic changes “Hyperacute” T Waves or T wave inversion. ST Elevations Pathologic Q Waves T Wave Changes (Myocardial Ischemia) ST Segment Changes (Myocardial Injury) The Abnormal Q wave and QS Complex (Myocardial Infarction) ECG Changes in Myocardial Infarction Myocardial Infarction (1) Basic changes “Hyperacute” T Waves or T wave inversion. Tall peaked T waves, often appear as the earliest ECG sign of acute MI, then T wave downward. ST Elevations. The ST segment elevated in two or more leads and may be straightened and fuse with the T wave (mono-phasic curve) Pathologic Q Waves. the sudden developed Q wave may indicate an acute MI. (2) Progressive ECG changes Progressive ECG changes (3) Localization of Myocardial Infarction Leads with Abnormal Q Waves in MI Leads with Abnormal Q Waves Location of MI V1 ? V3 Anteroseptal V3 ? V5 Anterior I, aVL, V5 ? V6 Lateral V1 ? V5 Extensive Anterior II, III, aVF Inferior V7 ? V9 posterior V3R ? V4R right ventricle Localization of Limb Leads (3) Localization of Myocardial Infarction Leads with Abnormal Q Waves in MI Leads with Abnormal Q Waves Location of MI V1 ? V3 Anteroseptal V3 ? V5 Anterior I, aVL, V5 ? V6 Lateral V1 ? V5 Extensive Anterior II, I
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