Killer T-wave inversions in aVL
Episode 8
October 30, 2011

Watch this 17 minute video to learn to diagnose a subtle impending inferior STEMI and save a life 

You must be the expert at reading ECGs!

Even experienced interventional cardiologists miss STEMI’s

New T-wave inversion in aVL

  • Reciprocal changes can precede ST-elevation in MI
  • Lead aVL can show early reciprocal changes from an inferior MI before ST-elevation

References:

Tran V, Huang HD, Diez J, Kalife G, et al. (2011). Differentiating ST-Elevation Myocardial Infarction from Nonischemic ST-Elevation in Patients With Chest Pain. The American journal of cardiology, 108(8), 1096–1101.

Jayroe JD, Spodick, DH, Nikus K, et al. (2009). Differentiating ST Elevation Myocardial Infarction and Nonischemic Causes of ST Elevation by Analyzing the Presenting Electrocardiogram. The American journal of cardiology, 103(3), 301–306.


 

Killer T-wave inversions in aVL
Episode 8
October 30, 2011

Watch this 17 minute video to learn to diagnose a subtle impending inferior STEMI and save a life 

You must be the expert at reading ECGs!

Even experienced interventional cardiologists miss STEMI’s

New T-wave inversion in aVL

  • Reciprocal changes can precede ST-elevation in MI
  • Lead aVL can show early reciprocal changes from an inferior MI before ST-elevation

References:

Tran V, Huang HD, Diez J, Kalife G, et al. (2011). Differentiating ST-Elevation Myocardial Infarction from Nonischemic ST-Elevation in Patients With Chest Pain. The American journal of cardiology, 108(8), 1096–1101.

Jayroe JD, Spodick, DH, Nikus K, et al. (2009). Differentiating ST Elevation Myocardial Infarction and Nonischemic Causes of ST Elevation by Analyzing the Presenting Electrocardiogram. The American journal of cardiology, 103(3), 301–306.


 

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