DSAE STEMI REVIEW, Part 1: Classic Anterior STEMI Pattern

Illustration of the Acute Anterior STEMI

Please note the salient features of this cardiogram.

  1.  No evidence of LVH or LBBB
  2. ST-segment elevations concave down, especially in Leads V1, V2, V3, V4 (tombstoning noted)
  3. ST segment depressions in Leads II, III, avF (reciprocity)
  4. Tall, smooth, peaked, symmetrical, broad-based Ts in Leads I, avL, V1 to V6 (Hyperacute Ts)