infarto ultimo
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MODULO IIPARTE II
ELECTROCARDIOGRAMA EN EL INFARTO AGUDO DE MIOCARDIO
DR. JUAN CARLOS COLQUE MEDICINA INTERNA
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ICP primaria: Criterios ECG
•Elevación del ST > 2 mm en 2 precordiales contiguas
•Elevación de 1 mm en cara inferior acompañado de: - Disminución ST>2 mm en V1-V2 o V2- V3 - Aumento del ST>1 mm en aVL y V6
•BCRIHH con criterios clínicos sugestivos de IAM.
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I N F A R T O A G U D O D E L M I O C A R D I OL o c a l i z a c i ó n:
CARA ANTERIOR: Anterior Extenso: De V1 a V6 ( D1 - aVL ). Antero – Septal: De V1 a V4. Antero – Lateral: De V3 a V6, D1, aVL.
CARA LATERAL: Lateral baja: V5, V6, Lateral Alta: DI aVL.
CARA INFERIOR: DII, DIII y aVF.
CARA POSTERIOR : De V1 a V3.
I N F A R T O D E L V E N T R I C U L O D E R E C H O V4R.
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C a r d i o p a t í a I s q u é m i c a
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E l e c t r o c a r d i o g r a f í a
• INFARTO AGUDO ANTERO - LATERAL
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C a r d i o p a t í a I s q u é m i c a
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E L E C T R O C A R D I O G R A F Í A
Infarto Agudo del Miocardio – Cara Inferior
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Infarto Agudo del Miocardio: Postero - Inferior
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INFARTO AGUDO DEL MIOCARDIO
Fase de estabilización crónica:
Q: Persistentes.( QS, QR o Qr).
Progresión inadecuada de la Onda R en Precordiales.
Normalización de la Ondas T.
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C A R D I O P A T Í A I S Q U É M I C A
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