Massive âReciprocalâ Changes
Report:
Sinus rhythm
PR interval 0.20â
Acute lateral infarction
Widespread reciprocal ST segment depression
Comment:
It never, of course, quite certain how much of the ST depression is indeed reciprocal to the puny elevation in aVL and how much is independent ischæmia. As a general rule, however, the elevation is the primary event70 when associated with depression in other leads.
Taking leads V4-6 one interspace higher is sometimes employed to bring to light more of the âlateralâ infarct pattern; it is rarely successful and never relevant in the first place.
This patient died from cardiogenic shock.
96. 41 year old man with chest pain.
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