Beruflich Dokumente
Kultur Dokumente
Paramedic Training
King County, WA
LISA
V6R
V5R
V4R
V5R
V6R
Think
Right Sided ECG
&
I.V. Ringers
Posterior Wall MI
(PWMI)
Posterior Wall MI
(PWMI)
Usually an extension of an Inferior or Lateral MI
Common with proximal RCA occlusions
Occurs with LCX occlusions
Indicative Leads
ST
Infarcted Tissue
V7-V9
Posterior Wall
Ischemic Tissue
LV
RV
Reciprocal Leads
R
ST
V1-V4
PWMI
Best to identify with direct leads
Suspect when:
ST depression in V1 V3
R wave progression in V1 V3
Positive T waves in V1 V3
PWMI
Best to identify with direct leads
ST elevation in V7, V8, V9
ST elevation in posterior leads is evidence of posterior MI
Posterior Leads
V7
Posterior axillary line
Level with V6
V8
Mid-scapular line
Level with V6
V9
Left para-vertebral
Level with V6
Posterior Wall MI
(PWMI)
V7
V8
V9
Summary
A normal 12 Lead ECG does not rule out AMI
Time is Muscle. Pre-Hospital 12 Leads improve Patient outcomes
Doing and interpreting the 12 Lead is fast and easy
Be systematic and use the L - I - S - A method
12 Leads allow you to anticipate complications
Inferior MI = Right sided 12 Lead & I.V. Ringers
Be aware of Imitators