Rate by big box on ECG
300 / number of big boxes
Dig toxicity
ST segment scooping and prominent U waves
Anterolateral vs Anterior/Anteroseptal STEMI
Anterolateral needs 1, v5/v6
Anteroseptal is V1-V4
Low voltage limb leads
<5 mm in all limb leads (I, II, III, avR, avL, avF)
posterior MI vs RVH
R wave greater than an S wave with a concordant positive T-wave in V1 is suggestive of a posterior infarction.
RVH
RAD, R/S ratio in V1>1, R/S ration in V5 or V6 < 1, qR complex in V1 or R wave > 7 mm in V1
St depressions or TWI in right precordial leads
RVH in RBBB
In the setting of a right bundle branch block, an R-prime in V1 greater than or equal to 15 mm suggests right ventricular hypertrophy.