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Interpretation: Color
Coding for MIs
2004
Anna Story
Objectives
MI Definition
Think of each
precordial lead as
a horizontal view
of the heart at the
AV node
With the limb leads
and the precordial
leads you have a
snapshot of heart
portions
Lead Placement is
Important
White on right
Smoke(black) over
fire(red)
Snow(white) on
grass(green)
Precordial Leads
I and
AVL
V3 &
v4
V1 & v2
II, III and AVF
V5 &
v6
P- wave
QRS- Complex
T- wave
11
P-R interval
QRS Interval
QT Interval
ST segment
12
13
Baseline
14
Baseline
15
16
Q wave
ST Elevation
1 year
T wave
2004 Anna Story
inversion
17
18
19
20
21
Anterior MI
22
23
Inferior MI
24
As an aside.
25
26
Hypotension
Jugular vein
distention
Dry lung sounds
27
Lateral Infarct
with ST
elevations
Left Circumflex
Artery
Rarely by itself
Usually in combo
28
Lateral MI
29
30
Posterior MI
31
No color for
SubEndocardial
infarcts since they
are not transmural
Look for diffuse or
localized changes
and non Q wave
abnormalities
T-wave inversions
ST segment
depression
32
SubEndo MI
33
34
35
36
Practice 1
Click
for
answer
37
Practice 2
Click
for
answer
Anteroseptal MI
38
Practice 3
Click
for
answer
Inferior MI
39
Practice 4
Click
for
answer
Inferior lateral MI
ST elevations 2, 3, AVF
ST elevations V5
2004 Anna Story
40
Practice 5
Click
for
answer
Acute inferior
MI
Lateral
2004 Anna
Story
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
Cardiac Enzymes
Indicating Infarct
Normals
CPK- 10-155u/liter
58
Cardiac Enzymes
Indicating Infarct
59
Cardiac Enzymes
Indicating Infarct
Troponin T
Advantages
Disadvantages
60
Cardiac Enzymes
Indicating Infarct
Troponin I
61
References
62