A pre-hospital clinician is performing a 12-lead ECG on a patient with chest pain. The ECG shows ST-elevation in leads II, III, and aVF with ST-depres...

Question

A pre-hospital clinician is performing a 12-lead ECG on a patient with chest pain. The ECG shows ST-elevation in leads II, III, and aVF with ST-depression in leads I and aVL. What additional leads should be recorded and why?

Accepted Answer

Right-sided chest leads (V4R) - to assess for right ventricular involvement, which is common in inferior STEMI and affects fluid management

Answer

High lateral leads only

Answer

Repeat the standard 12-lead ECG after 15 minutes

Answer

Posterior leads (V7-V9) only

Answer

No additional leads are needed - the standard 12 leads are sufficient

uk-dipimc MCQ (SBA): Inferior STEMI - Right-Sided Leads

A pre-hospital clinician is performing a 12-lead ECG on a patient with chest pain. The ECG shows ST-elevation in leads II, III, and aVF with ST-depression in leads I and aVL. What additional leads should be recorded and why?