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The Scut Monkey, 11e. Left arm to right arm Lead II: Check for ST-segment elevation or depression, Q waves, inverted T waves, and poor R-wave progression in the precordial leads see Myocardial Infarction.

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Use this site remotely Bookmark your favorite content Track your self-assessment progress and more! Excellent post, sorry about the delay and the outcome.

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Here lead V5 happens to show the beginning and end of the QRS very nicely. The PR should be 0.

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The magnitude of the reciprocal change in the inferior leads is determined by the magnitude of the ST elevation in I and aVL as these leads are electrically opposite to III and aVF , hence may be minimal or absent in anterior STEMIs that do not involve the high lateral leads. Medically trained bystanders happen to witness the event and begin CPR right away.

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The authors reported a very high right of LMCA occlusion cardiogenic shock and death with this finidng. Hopefully we can prevent this in the future by excellent posts like this.