LVA post MI

ECG Pointers: Post Myocardial Infarction Complications – LV Aneurysm

emDocs - March 31, 2020 - By Bridwell R and Tannenbaum LL

Reviewed by: Santisteva J; Singh M and Long B

"The main pointers:

1. Acquiring an old ECG is key to differentiating LV aneurysm from anterior STEMI, with a T-wave amplitude:QRS amplitude assisting in differentiation
2. STEMI can be superimposed on LV aneurysm, and in this case the T-wave again becomes upright with higher amplitude.
3. LV aneurysm patients are at very high risk of dysrhythmias and thromboembolic events"