Posterior STEMI
Definition
History and findings suggestive of acute coronary syndrome.
History/Physical Exam
History and findings suggestive of acute coronary syndrome.
Key 12-Lead Features
- Suspect Posterior MI with marked Precordial ST Depression V1-4 > 1mm (sensitive)
- ST Elevation in V7/8/9 > 0.5mm adds specificity
Key Treatment Points
- Transmit as per current guidelines if believed ischemic
- Convey to PCI capable hospital
- Monitor for 12-lead changes and patient decompensation
- Treat as Acute Coronary Syndrome
- Patient advocacy at the hospital
12 Lead ECG Sample
References
- Van Gorselen, EOF, et al. Posterior myocardial infarction: The dark side of the moon. 2007. [Link]