Difference between revisions of "ACS anatomical correlation"

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{| style="width: 500px" border="1" cellpadding="1" cellspacing="1"
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{{ACS anatomical correlation}}
|-
 
| '''''ST Elevation'''''
 
| '''Location'''
 
| '''Coronary Artery'''
 
| '''Complications'''
 
|-
 
| V1-V2
 
| Septal
 
| Septal branch
 
| colspan="1" rowspan="2" | Left ventricular dysfunction:
 
-Decreased CO2
 
  
-CHF, LBBB, RBBB
+
==See Also==
 +
*[[Acute coronary syndrome (main)]]
 +
*[[Myocardial Infarction Complications]]
  
-Left PFB
+
[[Category:Cardiology]]
 
 
-Infranodal block (2 ̊or 3 ̊)
 
 
 
|-
 
| V2-V4
 
| Anterior
 
| LAD
 
|-
 
| I, aVL, V5, V6
 
| Lateral
 
| Circumflex
 
| Left ventricular dysfunction:
 
-Decreased CO2
 
 
 
-CHF, Infranodal block (2 ̊or 3 ̊)
 
 
 
|-
 
| II, III, aVF
 
| Inferior
 
| RCA
 
| colspan="1" rowspan="3" | -Hypotension (NTG/morphine)                    
 
-A-fib/flutter
 
 
 
-PACs
 
 
 
Infranodal block (2 ̊and 3 ̊)
 
 
 
-Papillary muscle rupture (murmur)
 
 
 
|-
 
|
 
III > II, aVF
 
 
 
V1
 
 
 
 
 
 
 
| Right ventricle
 
| RCA
 
|-
 
|
 
ST Depression in V1, V2
 
 
 
R>S wave
 
 
 
<br>
 
 
 
| Posterior
 
| RCA (90%), LCA (10%)
 
|-
 
| avR (STE)
 
| Anterolateral
 
| Left Main
 
| <br>
 
|}
 
 
 
== See Also  ==
 
 
 
*[[Acute Coronary Syndrome (Main)]] <br>
 
 
 
[[Category:Cards]]
 

Latest revision as of 20:01, 16 November 2017

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

See Also