Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
Prehosp Emerg Care. 2011 Jul-Sep;15(3):410-3. doi: 10.3109/10903127.2011.561414. Epub 2011 Apr 4.

Prehospital diagnosis of ST-segment elevation myocardial infarction using an "all-posterior" 12-lead electrocardiogram.

Author information

  • 1Department of Emergency Medicine, Gold Cross, Mayo Clinic, Rochester, Minnesota 55905, USA. russi.christopher@mayo.edu

Abstract

A prehospital 12-lead electrocardiogram (ECG) is commonly used for patients with suspected ST-segment elevation myocardial infarction (STEMI). This case report describes how paramedics diagnosed inferior STEMI with all ECG leads positioned on a patient's back (i.e., "all-posterior" positioning). The patient was hemodynamically stable but morbidly obese and markedly diaphoretic. Owing to severe back pain, he refused to lie in the supine position for assessment or transport. At the emergency department, a 12-lead ECG with the patient in lateral recumbency confirmed the diagnosis of inferior STEMI. This case shows that an all-posterior 12-lead ECG can be used to identify STEMI when optimal patient positioning is not possible.

PMID:
21463202
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Informa Healthcare
    Loading ...
    Write to the Help Desk