Inferior Myocardial Infarction ECG Pattern: ST Elevation in II, III, aVF

Classic ECG findings for acute inferior STEMI:

  • ST elevation (≥1 mm): Leads II, III, aVF.
  • Reciprocal ST depression: Leads I, aVL (often subtle).
  • May see ST elevation in V5–V6 (inferolateral) or V1 (right ventricular involvement).
  • Right-sided leads (V4R) recommended to assess RV infarct.

Correlate clinically; activate cath lab per protocol.

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