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Inferior wall myocardial infarction

Inferior wall myocardial infarctionECG shows ST segment elevation in leads II, III and aVF of about 3 mm. ST segment depression is seen in leads I, aVl and V1 to V5. Overall features are suggestive of hyperacute phase of inferior wall myocardial infarction with “reciprocal” ST segment depression in anterior leads. The hyperacute phase is diagnosed when the ST segment is elevated and the T waves are upright in those leads. The segment is upsloping in hyperacute phase as the T waves are upright and sometimes a bit tall. ST segment becomes “coved” as the T waves get inverted in the later phase. The “reciprocal” ST depression in anterior leads could be just an electrical phenomenon due to the ST segment elevation in the inferior leads or due to ischemia in the corresponding territory. We will see what exactly was there in this case in the still pictures of left and right coronary angiograms. Web: https://johnsonfrancis.org/profession...