ACS anatomical correlation: Difference between revisions

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{{ACS anatomical correlation}}
|-
| '''''ST Elevation'''''
| '''Location'''
| '''Coronary Artery'''
|-
| V1-V2
| Septal
| Septal branch
|-
| V2-V4
| Anterior
| LAD
|-
| I, aVL, V5, V6
| Lateral
| Circumflex
|-
| I, aVL, V2-6
| Anterolateral
| LAD + circumflex = Left main or 2 critical lesions
|-
| II, III, aVF
| Inferior
| RCA
|-
|
*V1>V2
* III > II,
*STD in V2 & not in V1
<br>
 
<br>
 
| Right ventricle
| RCA
|-
|
ST Depression in&nbsp;V1, V2;
 
R&gt;S in V1
 
<br>
 
| Posterior
| RCA (90%), LCA (10%)
|-
| avR (STE)
| Anterolateral
| Left Main
|}
 
<br>


==See Also==
==See Also==

Revision as of 13:51, 14 October 2014

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