Coronary Arteries & 12-Leads

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In Relationship to 12- Lead Electrocardiograms

description

Teaches coronary artery correlation to grouped leads.

Transcript of Coronary Arteries & 12-Leads

Page 1: Coronary Arteries & 12-Leads

In Relationship to 12-Lead Electrocardiograms

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Aorta

Right CoronaryArtery

Left MainArtery

LeftAnteriorDescending

CircumflexArtery

Copyright 2005Lippincott Williams &Wilkins

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ST segment represents the end of ventricular conduction or depolarization and the beginning of ventricular recovery or repolarization.The point that marks the end of the QRS complex and the beginning of the ST segment is called the “J Point.”

A normal ST segment has these characteristics:

Location: extends from the S wave to the beginning of the T wave.Deflection: usually isoelectric

STsegment

J Point

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• Impaired Circulation: ischemia, injury or infarction?

• Ischemia: ST depression and T-wave inversion

• Injury: ST elevation

• Infarction: ST elevation

• Q-wave: Indicates a previous infarction

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Copyright 2001 American Heart Association

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Copyright 2001 American Heart Association

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ST Elevation in Septal Leads V1 & V2

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Copyright 2001 American Heart Association

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ST elevation in Anterior Leads V3 & V4

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Copyright 2001 American Heart Association

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Copyright 2001 American Heart Association

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ST elevation in Inferior Leads II, III & aVF

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Copyright 2001 American Heart Association

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Copyright 2001 American Heart Association

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Copyright 2001 American Heart Association

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I Lateral

CircumflexArtery

aVR V1 Septal

Left AnteriorDescendingArtery

V4 Anterior

RightCoronaryArtery

II Inferior

Right CoronaryArtery

aVL Lateral

CircumflexArtery

V2 Septal

Left AnteriorDescendingArtery

V5 Lateral

CircumflexArtery

III Inferior

Right CoronaryArtery

AVF Inferior

RightCoronaryArtery

V3 Anterior

Right CoronaryArtery

V6 Lateral

CircumflexArtery

Copyright 2001 American Heart Association