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Left Ventricular Aneurysm LV Aneurysm (Example) An LV aneurysm can be diagnosed on ECG when there is persistent ST segment elevation occurring 6 weeks after a known anterior wall ST segment elevation myocardial infarction. Without knowing the persons past medical history, if a patient presented to the emergency room with acute chest pain and an ECG that looked like ECG number 2, it could be an acute ST segment elevation myocardial infarction. Thus, the only true way to diagnose LV aneurysm on ECG is if there is a known history of an anterior wall myocardial infarction AND the ST segments are persistently elevated in V1 and V2. |
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