Remove Academic Remove Cardiogenic Shock Remove Electrocardiogram
article thumbnail

Chest pain and shock: Is there a right ventricular OMI on this ECG? And should he undergo trancutaneous pacing?

Dr. Smith's ECG Blog

We recorded an ECG in which V1-V3 were put in the position of V4R-V6R, and V4-6 were placed in V7-9 to (academically) confirm posterior OMI. I say academically because the STD in V2 is diagnostic -- posterior leads are NOT necessary. A 12-lead electrocardiogram, lead V4R , and leads V7-9 were recorded on admission. What to do?