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

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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