{"id":21654,"date":"2016-11-05T05:49:43","date_gmt":"2016-11-05T00:19:43","guid":{"rendered":"https:\/\/cardiophile.org\/?p=21654"},"modified":"2022-12-09T06:22:48","modified_gmt":"2022-12-09T00:52:48","slug":"inferolateral-myocardial-infarction","status":"publish","type":"post","link":"https:\/\/johnsonfrancis.org\/professional\/inferolateral-myocardial-infarction\/","title":{"rendered":"Inferolateral myocardial infarction"},"content":{"rendered":"<p><iframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/SmjfI8crBTg\" title=\"YouTube video player\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen=\"\"><\/iframe><\/p>\n<h2><span style=\"color: #008000;\">Inferolateral myocardial infarction<\/span><\/h2>\n<figure id=\"attachment_27697\" aria-describedby=\"caption-attachment-27697\" style=\"width: 1000px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-27697\" src=\"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2016\/11\/ILMI-1.jpg\" alt=\"Inferolateral myocardial infarction\" width=\"1000\" height=\"498\"><figcaption id=\"caption-attachment-27697\" class=\"wp-caption-text\"><em><strong><span style=\"color: #0000ff;\">Inferolateral myocardial infarction<\/span><\/strong><\/em><\/figcaption><\/figure>\n<p>ST segment elevation is seen in inferolateral leads (II, III, aVF, V5, V6) indicating inferolateral <span style=\"color: #0000ff;\">ST elevation myocardial infarction<\/span> (STEMI). There is a discordance between the ST segment in aVL and V6 &#8211; there is ST segment depression in aVL while the ST segment is minimally elevated in V6. STEMI is an indication immediate angiography and percutaneous coronary intervention (PCI).<\/p>\n<p>If that is not feasible, either the patient can be transferred to a PCI capable center or thrombolytic therapy administered if there are no contraindications. Differential diagnosis of this pattern is of course an early repolarization (ERPS) pattern. But ST segment depression in aVL is unlikely to be seen with ERPS. Clinical history, estimation of cardiac troponins and echocardiography to look for wall motion abnormality will help in differentiating the two conditions.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Inferolateral myocardial infarction ST segment elevation is seen in inferolateral leads (II, III, aVF, V5, V6) indicating inferolateral ST elevation myocardial infarction (STEMI). There is a discordance between the ST segment in aVL and V6 &#8211; there is ST segment depression in aVL while the ST segment is minimally elevated in V6. STEMI is an [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":21655,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[2,6,7],"tags":[1792,1853,3665,3693],"class_list":["post-21654","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cardiology","category-ecg-electrophysiology","category-ecg-library","tag-ilmi","tag-inferolateral-myocardial-infarction","tag-st-elevation-myocardial-infarction","tag-stemi"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Inferolateral myocardial infarction - ST elevation in II, III, aVF, V5, V6<\/title>\n<meta name=\"description\" content=\"ST segment elevation is seen in inferolateral leads (II, III, aVF, V5, V6) indicating inferolateral ST elevation myocardial infarction.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/johnsonfrancis.org\/professional\/inferolateral-myocardial-infarction\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Inferolateral myocardial infarction - ST elevation in II, III, aVF, V5, V6\" \/>\n<meta property=\"og:description\" content=\"ST segment elevation is seen in inferolateral leads (II, III, aVF, V5, V6) indicating inferolateral ST elevation myocardial infarction.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/johnsonfrancis.org\/professional\/inferolateral-myocardial-infarction\/\" \/>\n<meta property=\"og:site_name\" content=\"All About Cardiovascular System and Disorders\" \/>\n<meta property=\"article:published_time\" content=\"2016-11-05T00:19:43+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2022-12-09T00:52:48+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2016\/11\/ILMI-2.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1000\" \/>\n\t<meta property=\"og:image:height\" content=\"498\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Johnson Francis\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Johnson Francis\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/inferolateral-myocardial-infarction\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/inferolateral-myocardial-infarction\\\/\"},\"author\":{\"name\":\"Johnson Francis\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"headline\":\"Inferolateral myocardial infarction\",\"datePublished\":\"2016-11-05T00:19:43+00:00\",\"dateModified\":\"2022-12-09T00:52:48+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/inferolateral-myocardial-infarction\\\/\"},\"wordCount\":148,\"publisher\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"image\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/inferolateral-myocardial-infarction\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/wp-content\\\/uploads\\\/2016\\\/11\\\/ILMI-2.jpg\",\"keywords\":[\"ILMI\",\"Inferolateral myocardial infarction\",\"ST elevation myocardial infarction\",\"STEMI\"],\"articleSection\":[\"Cardiology\",\"ECG \\\/ Electrophysiology\",\"ECG Library\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/inferolateral-myocardial-infarction\\\/\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/inferolateral-myocardial-infarction\\\/\",\"name\":\"Inferolateral myocardial infarction - 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