UMEM Educational Pearls

Category: Cardiology

Title: AMI versus Aneurysm

Posted: 7/14/2007 by Amal Mattu, MD (Emailed: 7/8/2007) (Updated: 8/25/2019)
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AMI versus Aneurysm For ECG distinction between AMI versus ventricular aneurysm, look for reciprocal changes and height of T-waves: 1. Reciprocal ST depression strongly favors AMI. 2. Large T-waves in leads with Q waves and STE is likely AMI. Ventricular aneurysm usually gives you "blunted" or flat T-waves in those leads.