Electrocardiographic features of myocardial infarction

After myocardial infarction occurs, myocardium will undergo the process of damage and necrosis, and with the course of time the electrocardiogram will undergo the characteristic changes such as ST-segment upward sloping, bow-back elevation, T-wave inversion, and so on. In the hyperacute stage, there will be a tall T wave on the ECG, and the ST segment will be upward sloping or bow-back up elevated. In the acute phase, the bow-back elevation of the ST segment may show a significant unidirectional curve followed by a gradual decrease. Myocardial necrosis leads to a gradual decrease or even disappearance of the R-wave amplitude and reappearance of abnormal Q-waves.The T-wave changes from upright to inverted and necrotic Q-waves may appear. In the subacute phase, the elevated ST segment gradually returns to baseline, but due to ischemia, the T wave may gradually become shallow from inversion, when necrotic Q waves persist. In the healing stage, the ST segment and T wave gradually return to normal, the T wave remains inverted or low, and the residual necrotic Q wave still exists. In case of myocardial infarction, it is recommended to consult a doctor in time to clarify the cause with the help of the doctor and carry out targeted treatment or therapy.