The value of ECG lead aVR in the differential diagnosis of acute inferior wall myocardial infarction

Internal Medicine

Volumn 46, Issue 12, 2007, Pages 795-799

  Sun, Tong Wen ^a   Wang, Le Xin ^b   Zhang, Yan Zhou ^c  

^a ZHENGZHOU UNIVERSITY   (China)

^b CHARLES STURT UNIVERSITY   (Australia)

^c SHANGHAI JIAO TONG UNIVERSITY SCHOOL OF MEDICINE   (China)

Author keywords

Acute myocardial infarction; Coronary angiography; ECG; Infarct related artery

Indexed keywords

ACUTE HEART INFARCTION; ADULT; AGED; ANGIOCARDIOGRAPHY; ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; CORONARY ARTERY CIRCUMFLEX BRANCH; DIFFERENTIAL DIAGNOSIS; DISEASE ASSOCIATION; ELECTROCARDIOGRAPHY; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; RIGHT CORONARY ARTERY; SENSITIVITY AND SPECIFICITY; ST SEGMENT DEPRESSION; ST SEGMENT ELEVATION;

ADULT; AGED; CORONARY ANGIOGRAPHY; CORONARY VESSELS; DIAGNOSIS, DIFFERENTIAL; ELECTROCARDIOGRAPHY; FEMALE; HUMANS; MALE; MIDDLE AGED; MYOCARDIAL INFARCTION; SENSITIVITY AND SPECIFICITY;

EID: 34547916433     PISSN: 09182918     EISSN: 13497235     Source Type: Journal    
DOI: 10.2169/internalmedicine.46.6411     Document Type: Article

References (19)

1. Bairey CN, Shah PK, Lew AS. Electrocardiographic differentiation of occlusion of the left circumflex versus the right coronary artery as a cause of inferior acute myocardial infarction. Am J Cardiol 60: 456-459, 1987.
2. Berger PB, Ryan TJ. Inferior myocardial infarction: high-risk sub-groups. Circulation 81: 401-411, 1990.
3. 6) precordial ST-segment depression in inferior wall acute myocardial infarction. Am J Cardiol 83: 143-148, 1999.
4. Correale E, Battista R, Martone A, et al. Electrocardiographic patterns in acute inferior myocardial infarction with and without right ventricle involvement: classification, diagnostic and prognostic value, masking effect. Clin Cardiol 22: 37-44, 1999.
5. Mehta SR, Eikelboorn JW, Natarajan MK, et al. Impact of right ventricular involvement on mortality and morbidity in patients with inferior myocardial infarction. J Am Coll Cardiol 37: 37-43, 2001.
6. Zimetbaum PJ, Krishnan S, Gold A, Carrozza JP 2nd, Josephson ME. Usefulness of ST-segment elevation in lead III exceeding that of lead II for identifying the location of the totally occluded coronary artery in inferior wall myocardial infarction. Am J Cardiol 81: 918-919, 1998.
7. Herz I, Assali AR, Adler Y, Solodky A, Sclarovsky S. New electrocardiographic criteria for predicting either the right or left circumflex artery as the culprit coronary artery in inferior wall acute myocardial infarction. Am J Cardiol 80: 1343-1345, 1997.
8. Chia BL, Yip JW, Tan HC, et al. Usefulness of ST elevation II/III ratio and ST deviation in lead I for identifying the culprit artery in inferior wall acute myocardial infarction. Am J Cardiol 86: 341-343, 2000.
9. 2: a discordant ECG pattern indicating right ventricular infarction. J Electrocardiol 27: 203-207, 1994.
10. Bayram E, Atalay C. Identification of the culprit artery involved in inferior wall acute myocardial infarction using electrocardiographic criteria. J Int Med Res 32: 39-44, 2004.
11. 4R in inferior wall acute myocardial infarction to predict the site of coronary arterial occlusion. Am J Cardiol 62: 140-142, 1988.
12. Nair R, Glancy DL. ECG discrimination between right and left circumflex coronary arterial occlusion in patients with acute inferior myocardial infarction: value of old criteria and use of lead aVR. Chest 122: 134-139, 2002.
13. Gorgels AP, Engelen DJM, Wellens HJ. Lead aVR, a mostly ignored but very valuable lead in clinical electrocardiography. J Am Coll Cardiol 38: 1355-1356, 2001.
14. Menown IB, Adgey AA. Improving the ECG classification of inferior and lateral myocardial infarction by inversion of lead aVR. Heart 83: 657-660, 2000.
15. Kosuge M, Kimura K, Ishikawa. T, et al. ST-segment depression in lead aVR: A useful predictor of impaired myocardialreperfusion in patients with inferior acute myocardial infarction. Chest 128: 780-786, 2005.
16. Anderson ST, Pahlm O, Selvester RH, et al. Panoramic display of the orderly sequenced 12-lead ECG. J Electrocardiol 27: 347-352, 1994.
17. Sgarbossa EB, Barold SS, Pinski SL, Wagner GS, Pahlm O. Twelve-lead electrocardiogram:ther advantages of an orderly frontal lead display including lead -aVR. J Electrocardiol 37: 141-147, 2004.
18. Kontos MC, Desai PV, Jesse RL, Ornato JP. Usefulness of the admission electrocardiogram for identifying the infarct-related artery in inferior wall acute myocardial infarction. Am J Cardiol 79: 182-184, 1997.
19. Birnbaum Y, Drew BJ. The electrocardiogram in ST elevation acute myocardial infaretion:correlation with coronary anatomy and prognosis. Postgrad Med J 79: 490-504, 2003.