What the 12-Lead ECG Is Really Telling You (About Coronary Artery Occlusion) Reading a 12-lead ECG isn’t just about spotting ST elevation, it’s about diagnosing which part of the heart is starving and which artery is responsible. When you know the vascular anatomy, you’re not just reading squiggly lines… you’re predicting the enemy's location. Let’s break it down in plain English 👇 Each Lead Tells a Story The 12-lead gives you a window into different walls of the heart, and each wall is fed by
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Exploring Posterior and Septal STEMI: Posterior STEMI: Posterior STEMI often accompanies inferior or lateral infarctions and can be tricky to diagnose due to its subtle presentation on a standard 12-lead ECG. Key indicators include: - Standard 12-lead ECG: Look for ST-segment depression in the anteroseptal leads (V1-V3). - Posterior Leads (V7-V9): Confirm with ST-segment elevation in these leads. - Clinical Features: May include **hypokinesis and akinesis in the posterior segments of the left ve
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Learn ECGs Fast | JMD Medical Ed on Instagram: "If a fire is burning in the back room of a house, you don’t see flames from the front. You see smoke. Posterior MI is the fire. ST depression in V1 to V3 is the smoke. He walked into ED chatting. Chest pain earlier. Now “much better”. ECG printed. Someone says, “No STEMI.” That sentence has ended careers. Look at V1 to V3. ST segments pushed down. Horizontal. Not dramatic. Just… there. Here’s the mistake. People call this anterior ischemia and move
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