Ep.35 - Don't Look Here, Look Over There, That's Where the Problem Is! - Reciprocal Changes with Dr. Jones


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On this episode Dave is joined by Dr. Jerry W. Jones, MD FACEP FAAEM. Dr. Jones is the CEO and Founder of Medicus of Houston. Medicus of Houston is a continuing medical education company that specializes in advanced ECG interpretation and instruction.

He is a Board-certified emergency physician, author, speaker, instructor and and internationally-recognized expert in electrocardiography.

Dr. Jones is a diplomate of the American Board of Emergency Medicine who has practiced internal medicine and emergency medicine for over 40 years.

Also In This Episode

  • What is a Reciprocal Change?
  • The rules of Reciprocal Change
    • Only in the same plane as ST elevation
    • The leads manifesting reciprocal change should be as close to 180 degrees away from the leads with ST elevation as possible.
  • ST Elevation / Reciprocal Pairs
  • Inferior Epicardial Ischemia with Reciprocal Change
  • Basolateral Epicardial Ischemia with Reciprocal Change
  • Posterior / Lateral Epicardial Ischemia
  • Epicardial Ischemia with Reciprocal Change ECG Tracing example
  • An impulse travelling perpendicular to a lead axis cannot be seen in that lead.
  • ECG Tracing example
    • Ventricular Aneurysm
  • The Problem with Anterior ST Elevation
  • LAD Occlusion and Reciprocal Changes
  • ECG Tracing examples
    • Acute Pericarditis
  • Danger is hiding in Reciprocal changes
  • ECG Tracing example
  • ECG Tracing example
  • Subendocardial Ischemia or Reciprocal Change?
    • ECG Tracing examples of Reciprocal changes
    • ECG Tracing examples of Subendocardial Ischemia
  • Six points to remember
  • Dave's take-home points

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