ECG Guru - Instructor Resources - Akinesis https://www.ecgguru.com/ecg/akinesis en Inferior Wall M.I. With Angiogram and Ventriculogram https://www.ecgguru.com/ecg/inferior-wall-mi-angiogram-and-ventriculogram <div class="field field-name-field-ecg field-type-image field-label-hidden"><div class="field-items"><div class="field-item even"><a href="/ecg/inferior-wall-mi-angiogram-and-ventriculogram"><img typeof="foaf:Image" src="https://www.ecgguru.com/sites/default/files/IW115.jpg" width="1800" height="1392" alt="" /></a></div><div class="field-item odd"><a href="/ecg/inferior-wall-mi-angiogram-and-ventriculogram"><img typeof="foaf:Image" src="https://www.ecgguru.com/sites/default/files/RCA%20100%25%20Bols_0.jpg" width="400" height="381" alt="" /></a></div></div></div><div class="field field-name-field-ecg-interpretation field-type-text-long field-label-hidden"><div class="field-items"><div class="field-item even"><p>This ECG was taken from a 66-year-old woman who presented to the emergency department complaining of chest pain and shortness of breath.&nbsp; She attributed her symptoms to her COPD, but stated that her aerosol treatment had not helped.&nbsp; She waited for some time before deciding to go to the hospital, then drove herself. In the emergency department, she had blood&nbsp;drawn, an I.V. started, and an aerosol treatment of albuterol.&nbsp; She was then taken to the radiology dept. for a chest xray.&nbsp; When she returned, a 12-lead ECG was done.&nbsp; 45 minutes had passed since she first arrived at the hospital.&nbsp; This ECG is shown here.&nbsp; It shows ST elevation in the inferior leads:&nbsp; II, III, and aVF.&nbsp; The patient was taken immediately to the cath lab, where her right coronary artery was found to have a 100% occlusion. (See image accompanying this ECG).&nbsp; Angioplasty was successful, and stents were placed in the artery.&nbsp; The patient was found to have anemia, with a hemoglobin of 5.5, and she was given a blood transfusion.&nbsp; During the cath procedure, a ventriculogram was performed, which showed a stunned and akinetic inferior wall.&nbsp; Unfortunately, subsequent ventriculogram performed several weeks later showed the lack of motion of the inferior wall to be permanent.&nbsp; The ventriculogram is also posted here, and at this <a title="YouTube Stunned Inf Wall" href="http://www.youtube.com/watch?v=A7m-nVFTgSs">YouTube</a> link,&nbsp;so you will be able to show your students the mechanical effects on the heart of a delay to treatment in acute STEMI.&nbsp; See our <a title="You Tube" href="http://www.youtube.com/ECGGuru">YouTube</a> site for more ventriculograms and cath videos.</p></div></div></div><div class="field field-name-field-rate-this-content field-type-fivestar field-label-above"><div class="field-label">Rate this content:&nbsp;</div><div class="field-items"><div class="field-item even"><form class="fivestar-widget" action="/taxonomy/term/308/feed" method="post" id="fivestar-custom-widget" accept-charset="UTF-8"><div><div class="clearfix fivestar-average-text fivestar-average-stars fivestar-form-item fivestar-hearts"><div class="form-item form-type-fivestar form-item-vote"> <div class="form-item form-type-select form-item-vote"> <select id="edit-vote--2" name="vote" class="form-select"><option value="-">Select rating</option><option value="20">Give Inferior Wall M.I. 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