What does 'V2 (ventricular) is a level 1' mean in the context of electrocardiogram (ECG) readings?

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Last updated: May 13, 2025View editorial policy

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From the Guidelines

"V2 is a level 1" refers to the electrocardiogram (ECG) lead V2, where the ST-segment elevation is at a level of 0.1 to 0.2 mV, which is considered a minimal or low-level elevation. This classification is based on the standardization and interpretation of the electrocardiogram, as recommended by the American Heart Association, American College of Cardiology Foundation, and the Heart Rhythm Society 1. In the context of ECG interpretation, lead V2 is a chest lead that is used to assess the ST segment for signs of myocardial ischemia or infarction.

The level of ST-segment elevation in lead V2 is crucial in diagnosing acute myocardial infarction, and the threshold values for abnormal J-point elevation in V2 have been established as 0.2 mV for men 40 years of age and older, and 0.25 mV for men less than 40 years of age, while for adult women, the threshold value is 0.15 mV 1. A level 1 elevation in lead V2 may indicate minimal ST-segment elevation, which could be a sign of early myocardial ischemia or other cardiac conditions.

Some key points to consider when interpreting lead V2 include:

  • The upper normal limit for J-point elevation in V2 varies by age, sex, and ethnicity 1
  • The threshold values for abnormal J-point elevation in V2 are established for men and women of different age groups 1
  • The evaluation of ST elevation in lead V2 is critical in diagnosing acute myocardial infarction, and the recommended threshold values should be used as a guide for clinical decision-making 1.

In clinical practice, a level 1 elevation in lead V2 should prompt further evaluation and monitoring to determine the underlying cause of the ST-segment elevation, and to guide treatment decisions to improve patient outcomes in terms of morbidity, mortality, and quality of life.

From the Research

Definition of "V2 is a level 1"

There is no direct evidence in the provided studies to explain the meaning of "V2 is a level 1".

Possible Interpretations

  • The term "V2" could refer to a variety of concepts, but without more context, it is impossible to determine its meaning.
  • The phrase "is a level 1" suggests a classification or ranking system, but again, without more information, it is unclear what this refers to.

Relevant Studies

None of the provided studies 2, 3, 4, 5, 6 mention the term "V2 is a level 1" or provide any relevant information to explain its meaning.

Key Points

  • The provided studies focus on heart failure, ACE inhibitors, beta-blockers, and other medical topics, but do not mention the term "V2 is a level 1".
  • Without more context or information, it is impossible to determine the meaning of "V2 is a level 1".

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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