Inferior leads
II,III,avF
rIGHT Coronary
Right coronary artery
Lateral leads
I,avL,V5,V6
Left Circumflex
circumflex
Anterior leads
V3,V4
LAD
LAD
Septal leads
V1,V2
LAD
LAD
Posterior leads
Changes in V1-3
Posterior infarction is confirmed by ST elevation and Q waves in posterior leads (V7-9)
Usually left circumflex, also right coronary
causes of j wave
hypercalcemia
hypothermia
intracranial bleed
ECG hyperkalaemia
Peaked or 'tall-tented' T waves (occurs first) Loss of P waves Broad QRS complexes Sinusoidal wave pattern Ventricular fibrillation
ECG hypokalaemia
inverted T waves and U waves
muscle weakness and hypotonia and sometimes can include chest pain and palpitation
ECG hypercalcaemia
shortened QT interval
J ( osborne) waves
Digoxin effects on ECG
Downsloping ST depression T-wave changes (inversion) Biphasic/flattened and shortened QT interval Slight PR interval prolongation Prominent U-waves
ECG pericarditis
PR depression
saddle-shaped ST-segment elevation
causes of prolonged QT include
hypocalcaemia
hypokalaemia
hypomagnesaemia
hypothermia
drugs (e.g. antipsychotics, tricyclic antidepressants, macrolides, antiarrhythmics)