Thrombolysis – part 3

Cardiology

Continued from previous question.

The ECG actually shows an anterior myocardial injury. The medical student feels its a “thrombolysable” anterior MI. Which of the following changes would make the ECG “thrombolysable”?

  • ST elevation of 1mm in leads V1 and V3
  • ST elevation of 1mm in leads V1 and V2 only
  • ST elevation of 1mm In Leads V1 V2 and V3 with t wave inversion in all those leads
  • ST depression of 2mm in leads V1 and V2
  • None of the above ECG changes are “thrombolysable”

None of the above ECG changes are “thrombolysable”.

To fit the ECG criteria you need 2 consecutive leads with 2mm in the anterior/ lateral leads OR 1mm in 2 consecutive inferior leads (II III AVF) OR new Left bundle branch block.