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EKG Reference

Ischemia · Critical

Inferior STEMI

● Live · lead II25 mm/s · 10 mm/mV
III

10-second rhythm strip · count the boxes

III
RateOften slow (vagal, AV nodal ischemia)
RegularityRegular
P wavesNormal
PR intervalMay prolong (AV block common)
QRSNarrow

Key features

  • ST elevation in II, III, aVF (III > II suggests RCA)
  • Reciprocal depression in I and aVL
  • Get right-sided leads: STE in V4R = RV infarct