Probably not just based on this one 12 lead. Whats this guys history? does he have risk factors or family history? How did this pt present? I'd certainly be doing serial 12 leads and treating him if he was having chest pain. The precordial leads are definitely showing ischemia, so just based on that my index of suspicion would be higher.... I can't see how elevated III and aVF actually are cause the resolution on my computer is bad, but it's not much. How many mm is it? also, just based off of what I can see, I'm not sure aVL and I are truly depressed... yet anyway.

 

Did you happen to get a posterior? If this guy really is having an inferior STEMI that's not showing anywhere else I'd expect some posterior involvement.

 

Again, without knowing pt presentation, its hard to say what I would do.... I'd be doing some serious assessing before I pulled the trigger on a STEMI.

Thats my few cents, for what it's worth.

 

Christa

2008/2/2 Gustavo E. Flores <gflores@emergencyteam.net>:

Got this case 2 days ago and I'm wondering what's your opinion on the inferior leads and I and aVL.

 

Would you call this a STEMI based on III and aVF ST-elevations and reciprocals in aVL and I?

 

Or, is this isoelectric and the I and aVL are more a left ventricular strain pattern?

 

Gustavo E. Flores Bauer, MS4 EMT-P :.

e.mail: gflores@emergencyteam.net

web: www.emergencyteam.net

DR cel: 829.770.0707

PR cel: 787.630.6301

 

"My karma ran over your dogma."

 

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--
Christa Stedman, NREMT-I
christa.stedman@gmail.com

"EMS is extended periods of intense boredom, interrupted by occasional moments of sheer terror"