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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