- ST elevation primarily localised to leads I and aVL is referred to as a high lateral STEMI.
- It is usually associated with reciprocal ST depression and T wave inversion in the inferior leads.
- Occlusion of the first diagonal branch (D1) of the left anterior descending artery (LAD) may produce isolated ST elevation in I and aVL
- Occlusion of the circumflex artery may cause ST elevation in I, aVL along with leads V5-6.
This ECG was reproduced from Dr Smith’s ECG Blog.
- ECG BASICS — Waves, Intervals, Segments and Clinical Interpretation
- ECG CLINICAL CASES — Your favourite ECG’s placed in clinical context with a challenging Q&A approach
- ECG and Cardiology Eponymous Syndromes — Cheats guide to eponymous emancipation
- ECG Exam Template — a framework for the FACEM part 2 exam.
- ECG Reference Sites on the WEB — the best of the rest
- Surawicz B, Knilans T. Chou’s Electrocardiography in Clinical Practice (6th edition), Saunders 2008.