(
____________________
)
Do
a
V4R
if
ST
elevation
in
lead
V1
with
simultaneous
ST
DEPRESSION
IN
V2
?
(
____________________
)
Do
V7
-
V9
If
ST
depressions
>
/
=
2
contiguos
anterior
precordial
leads
?
(
____________________
)
ST
elevation
in
a
aVR
>
/
=
1
mm
and
aVR
>
/
=
V1
with
widespread
horizontal
ST
depressions
most
prominent
in
leads
I
,
II
,
V4
-
V6
?
(
____________________
)
Sinus
Tachycardia
,
T
wave
inversion
in
III
and
V1
,
V3
or
(
S1
,
Q3
,
T3
)
pattern
?
a
)
Consult
and
Interventional
Cardiologist
immediately
for
PCI
b
)
Consider
other
life
-
threatening
causes
of
chest
pain
(
pulmonary
embolism
)
c
)
Right
sided
STEMI
d
)
Posterior
STEM
I
