Anterior Wall MI

Anterior wall MI is a distressingly common occurrence in patients. Important clinical considerations are:
ECG
1. Anterior septal MI – V1-V3
2. Anterior MI – V1-V4
3. Lateral Anterior MI – V4-V6
Coronary involvement
left anterior descending
Cardiac areas involved
1. anterior wall of left ventricle
2. anterior 2/3 of septum
3. bundle of His
4. anterior superior division of left bundle branch
5. right bundle branch
6. posterior inferior division of left bundle branch
Clinical complications
1. bundle branch blocks
2. advanced heart blocks including Mobitz II and complete heart block
3. congestive heart failure and cardiogenic shock
4. ventricular septal defects
5. papillary muscle rupture
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Source: Inside Surgery - April 10, 2013 Category: Surgeons Authors: Editor Tags: Cardiology Source Type: blogs