Thrombolysis

Cardiology

A 63 year old Music teacher has a full thickness inferior myocardial infarction. The paramedics feel that it is “thrombolysable” based on their ECG tracing. What would you expect to see on the ECG?

  • ST elevation in II III AVF
  • ST elevation V1 V2 V3
  • ST elevation V4 V5 V6
  • T wave inversion only
  • ST depression only

ST elevation in II III AVF.

The following is true for the different territories for each vessel…

II III AVF = inferior MI
V1 V2 V3 =Anterior wall MI
V4 V5 V6 = Lateral Wall MI
ST elevation is classical for a myocardial infaction