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Michael D. Murley
4 Columns
3 Rows
Lead II = No Clue
Now that you know how to find the J Point, lets learn how to find J Point elevation
Module 3
Dont compare J Point to the PRI segment, there are medical conditions that my cause PRI depression
Module 3
Your eye wants to compare it to the PRI, but thats not best reference point
Module 3
Module 3
Module 3
Module 3
Module 3
Module 3
Module 3
Module 3
Module 3
Module 3
Module 3
Module 3
Module 3
Module 3
Module 3 Review
Were half way there. In order to recognize STEMI you have to know 2 things What to look for (ST elevation)
Left Ventricle is Cone shaped and it rest on the diaphragm Left Ventricle is divided into 5 regions
Posterior
Q S
You can think of each Lead as seeing a different portion of the Left ventricle
V1
V2 V3 V4 V5 V6
Module 5 Review
Module 5 Review
Module 5 Review
Module 5 Review
Module 5 Review
Module 5 Review
Module 5 Review
Module 5 Review
Module 5 Review
Module 5 Review
Module 5 Review
Module 5 Review
Module 5 Review
Now we know what we are looking for (ST elevation) and where we are looking (Lead views)
Its time to put it all together by taking a step by step approach to reading 12 Lead ECGs
Interrupting the 12 Lead requires you to go Lead by Lead, selecting one good representative complex
Pick one with a good baseline to compare and DONT select a PVC or any ectopic complex for analysis
Pick one with a good baseline to compare and DONT select a PVC or any ectopic complex for analysis
Once you have your complex, find the J Point and determine if ST elevation is present
Check each Lead, one by one, throughout all the Leads except aVR. When youre down, answer this question
Practice 12 Leads
Practice 12 Leads
Practice 12 Leads
Practice 12 Leads
Practice 12 Leads
Practice 12 Leads