Ischaemia:

 

ECG changes

Usual:

·     Very early: hyperacute T waves

·     Early: ST↑↓, T wave inversion

·     Late: Q wave

Other:

·     New LBBB

·     New conduction abnormality

·     Wellen’s syndrome = Critical LAD stenosis

o   Deeply inverted or biphasic T waves V2-3

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Localisation

·     In STEMI: affected leads = dying territory

·     In NSTEMI: can’t tell

 

Table

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(modified from Strong Medicine YouTube)

 

Diagram

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(from Strong Medicine YouTube)