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#Cardiovascular

ECG territory lead changes

evan March 5, 2024

Septal MI relates to leads V1 and V2.


An anterior MI would cause changes suggestive of MI in leads V3 and V4.
 

Tall R waves in leads V1-3, a classic finding of posterior myocardial infarctions. As the infarct is posterior the lead findings are reversed, meaning pathological Q waves become tall R waves. A non-posterior infarction would give the classic findings of pathological Q waves, ST-elevation and T-wave inversion.

A lateral MI would cause changes in leads I, aVL, V5 and V6.

ECG localisation of coronary artery territories | Deranged ...

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