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Bundle branch blocks LBBB or RBBB Paced beats. Posterior STEMIs are commonly missed because a 12-lead ECG demonstrates ST depressions in.

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All patients with anterior ST depressions and inferior ST elevations must get a 15-lead ECG to assess for RV infarct and posterior STEMI.

. Bundle branch block LBBB RBBB etc Pre-excitation eg WPW Metabolic eg hyperkalemia or severe acidosis Na channel blocking drugs eg TCAs Non-specific intraventricular conduction delay eg LVH cardiomyopathy Hyperkalemic Paralysis aka Impressive Syndrome. TCAs Non-specific intraventricular conduction delay eg. WPW Metabolic Hyperkalemia or severe acidosis Na channel blocking drugs eg.

Very rapid irregularly irregular tachycardia rates may. LVH cardiomyopathy Wolff-Parkinson-White Syndrome with Atrial Fibrillation. Posterior MI A 15-lead ECG provides additional V7-V9 leads which allow additional assessment for a posterior STEMI.

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