n Cardiovascular Journal of South Africa - The William Nelson ECG quiz

Volume 15, Issue 4
  • ISSN : 1680-0745



Extracted from text ... The William Nelson ECG Quiz This is the ECG of a 58-year-old man. How do you identify right chest leads? The answer is provided on page 181. The William Nelson ECG Quiz The value of right chest leads recorded during inferior wall infarction is acknowledged. If there is ST segment elevation of 1 mm or more in leads V4R or V5R or V6R, it serves to identify coexistent RV infarction. The computer is not programed to recognise these abnormal leads and will incorrectly interpret the decreasing V-lead voltage as due to anterolateral MI. Right chest leads are obtained with 'mirror-image' location ..

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