ECG Club PAKAR

Clinical Interpretation and

Significance of ST changes

Firman B Leksmono
Coronary Teritory and Vascularization
LVs Segments
Coronary Teritory
STEMI evolution
Direct and reciprocal changes
STEMI due to LAD occlusion proximal
to D1 and S1
STEMI due to LAD occlusion proximal
to D1 but distal to S1
STEMI due to occlusion of a long LAD
distal to D1 and S1
STEMI due to LAD occlusion proximal
to S1 but distal to D1
STEMI due to selective occlusion of D1 or
occlusion of the LAD involving the diagonal
but not the septal branches
STEMI due to RCA occlusion proximal to
the right ventricular marginal branch in
the case of balanced dominance
STEMI due to RCA occlusion after the
RV branches
STEMI due to occlusion of a very
dominant RCA: (a) site of occlusion
may be before or after the RV
branches
STEMI due to proximal occlusion of
nondominant LCX
STEMI due to the occlusion of the
obtuse marginal branch (OM)
STEMI due to proximal occlusion
of very dominant LCX
Thank You

Pakar 2016