On this episode Dave is joined by Dr. Jerry W. Jones, MD FACEP FAAEM. Dr. Jones is the CEO and Founder of Medicus of Houston. Medicus of Houston is a continuing medical education company that specializes in advanced ECG interpretation and instruction.
He is a Board-certified emergency physician, author, speaker, instructor and and internationally-recognized expert in electrocardiography.
Dr. Jones is a diplomate of the American Board of Emergency Medicine who has practiced internal medicine and emergency medicine for over 40 years.
Also In This Episode
What is a Reciprocal Change?
The rules of Reciprocal Change
Only in the same plane as ST elevation
The leads manifesting reciprocal change should be as close to 180 degrees away from the leads with ST elevation as possible.
ST Elevation / Reciprocal Pairs
Inferior Epicardial Ischemia with Reciprocal Change
Basolateral Epicardial Ischemia with Reciprocal Change
Posterior / Lateral Epicardial Ischemia
Epicardial Ischemia with Reciprocal Change ECG Tracing example
An impulse travelling perpendicular to a lead axis cannot be seen in that lead.
ECG Tracing example
Ventricular Aneurysm
The Problem with Anterior ST Elevation
LAD Occlusion and Reciprocal Changes
ECG Tracing examples
Acute Pericarditis
Danger is hiding in Reciprocal changes
ECG Tracing example
ECG Tracing example
Subendocardial Ischemia or Reciprocal Change?
ECG Tracing examples of Reciprocal changes
ECG Tracing examples of Subendocardial Ischemia
Six points to remember
Dave's take-home points
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