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Posterior MI

Hidden heart attacks…

11 May, 201511 July, 2021 EMKF

Criteria for diagnosis of posterior STEMI include:

ST-depression ≥0.5mm in leads V1-V3.
Associated T-waves are either upright or inverted.
Appearance of tall R-waves in V1-V2 (may be delayed).
Recommended: posterior chest wall leads (V7-V9 ≥0.5 mm* ST-elevation).
*may be decreased secondary to increased distance of posterior leads from heart.

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