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What Does An Old Lateral MI Show In EKG?

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Posted on Fri, 25 Jan 2013
Question: What kind of changes would u see on XXXXXXX Hutdherson ekg if old laterial mi
doctor
Answered by Dr. Om Lakhani (11 hours later)
Hi,

Thanks for writing in.

An Old Lateral MI would show large 'Q' waves (first negative wave in a QRS complex) in your lateral leads ie leads V5 and V6.

Sometimes it can even show decapitation of 'R' waves in leads V5 and V6 and poor R wave progression i.e. the generally the R wave increases in size from V1 to V6 but with a lateral MI it may not increase in size as expected.

Hope I have answered your query. If you have any further questions I will be happy to help

Regards
Dr. Om Lakhani

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Om Lakhani (11 hours later)
You see Jakes ekg with irreg heart beat what would you do next?
doctor
Answered by Dr. Om Lakhani (12 hours later)
Hi,

Well that depends on the changes on the ECG. Depends on what kind of abnormal rhythm you see on the ECG. The best thing .. to consult your healthcare professional ASAP when you see such ECG changes.

Regards
Dr. Om Lakhani
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Om Lakhani

Endocrinologist

Practicing since :2004

Answered : 319 Questions

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What Does An Old Lateral MI Show In EKG?

Hi,

Thanks for writing in.

An Old Lateral MI would show large 'Q' waves (first negative wave in a QRS complex) in your lateral leads ie leads V5 and V6.

Sometimes it can even show decapitation of 'R' waves in leads V5 and V6 and poor R wave progression i.e. the generally the R wave increases in size from V1 to V6 but with a lateral MI it may not increase in size as expected.

Hope I have answered your query. If you have any further questions I will be happy to help

Regards
Dr. Om Lakhani