Value of lead aVR in predicting acute occlusion of proximal left anterior descending coronary artery and in-hospital outcome in ST-elevation myocardial infarction: an electrocardiographic predictor of poor prognosis

Journal of Electrocardiology

Volumn 41, Issue 4, 2008, Pages 335-341

  Aygul, Nazif ^a   Ozdemir, Kurtulus ^a   Tokac, Mehmet ^a   Aygul, Meryem Ulku ^a   Duzenli, Mehmet Akif ^a   Abaci, Adnan ^b   Bacaksiz, Ahmet ^a   Yazici, Hüseyin ^b   Bodur, Sait ^a  

^a SELCUK UNIVERSITY   (Turkey)

^b GAZI UNIVERSITY   (Turkey)

Author keywords

Electrocardiography; In hospital mortality; Lead aVR; Left anterior descending coronary artery; ST elevation myocardial infarction

Indexed keywords

ADULT; AGED; ARTICLE; CARDIAC PATIENT; DISEASE CLASSIFICATION; ELECTROCARDIOGRAM; FEMALE; HEART EJECTION FRACTION; HEART INFARCTION; HEART RATE; HOSPITAL ADMISSION; HOSPITAL PATIENT; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAL INFORMATION; MORTALITY; OUTCOME ASSESSMENT; PRIORITY JOURNAL; PROGNOSIS; ST SEGMENT ELEVATION; SYSTOLIC BLOOD PRESSURE;

ARRHYTHMIAS, CARDIAC; COMORBIDITY; CORONARY STENOSIS; ELECTROCARDIOGRAPHY; ELECTRODES; FEMALE; HOSPITAL MORTALITY; HUMANS; INCIDENCE; MALE; MIDDLE AGED; MYOCARDIAL INFARCTION; PROGNOSIS; RISK ASSESSMENT; RISK FACTORS; SURVIVAL ANALYSIS; SURVIVAL RATE; TURKEY;

EID: 45049087215     PISSN: 00220736     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jelectrocard.2008.02.025     Document Type: Article

References (22)

1. Wong S.C., Sanborn T., Sleeper L.A., et al. Angiographic findings and clinical correlates in patients with cardiogenic shock complicating acute myocardial infarction: a report from the SHOCK Trial Registry. SHould we emergently revascularize Occluded Coronaries for cardiogenic shocK?. J Am Coll Cardiol 36 (2000) 1077
2. Elsman P., van 't Hof A.W., Hoorntje J.C., et al. Effect of coronary occlusion site on angiographic and clinical outcome in acute myocardial infarction patients treated with early coronary intervention. Am J Cardiol 97 (2006) 1137
3. Zeymer U., Vogt A., Zahn R., et al. Predictors of in-hospital mortality in 1333 patients with acute myocardial infarction complicated by cardiogenic shock treated with primary percutaneous coronary intervention (PCI); Results of the primary PCI registry of the Arbeitsgemeinschaft Leitende Kardiologische Krankenhausarzte (ALKK). Eur Heart J 25 (2004) 322
4. Engelen D.J., Gorgels A.P., Cheriex E.C., et al. Value of the electrocardiogram in localizing the occlusion site in the left anterior descending coronary artery in acute anterior myocardial infarction. J Am Coll Cardiol 34 (1999) 389
5. Gorgels A.P., Vos M.A., Mulleneers R., de Zwaan C., Bar F.W., and Wellens H.J. Value of electrocardiogram in diagnosing the number of severely narrowed coronary arteries in rest angina pectoris. Am J Cardiol 72 (1993) 999
6. Barrabes J.A., Figueras J., Moure C., Cortadellas J., and Soler-Soler J. Prognostic value of lead aVR in patients with a first non-ST-segment elevation acute myocardial infarction. Circulation 108 (2003) 814
7. Yamaji H., Iwasaki K., Kusachi S., et al. Prediction of acute left main coronary artery obstruction by 12-lead electrocardiography. ST segment elevation in lead aVR with less ST segment elevation in lead V(1). J Am Coll Cardiol 38 (2001) 1348
8. Ringqvist I., Fisher L.D., Mock M., et al. Prognostic value of angiographic indices of coronary artery disease from the Coronary Artery Surgery Study (CASS). J Clin Invest 71 (1983) 1854
9. Gensini G.G. Coronary arteriography (1975), Futura, Mount Kisco, New York
10. Willems J.L., Robles de Medina E.O., Bernard R., et al. Criteria for intraventricular conduction disturbances and pre-excitation. World Health Organizational/International Society and Federation for Cardiology Task Force Ad Hoc. J Am Coll Cardiol 5 (1985) 1261
11. Gorgels A.P., Engelen D.J., and Wellns H.J. Lead aVR, mostly ignored but very valuable lead in clinical electrocardiography. J Am Coll Cardiol 38 (2001) 1355
12. Antoniucci D., Valenti R., Migliorini A., et al. Relation of time to treatment and mortality in patients with acute myocardial infarction undergoing primary coronary angioplasty. Am J Cardiol 89 (2002) 1248
13. Widimsky P., Budesinsky T., Vorac D., et al. Long distance transport for primary angioplasty vs immediate thrombolysis in acute myocardial infarction. Final results of the randomized national multicentre trial-PRAGUE-2. Eur Heart J 24 (2003) 94
14. Hochman J.S., Sleeper L.A., Webb J.G., et al. Early revascularization in acute myocardial infarction complicated by cardiogenic shock. SHOCK Investigators. Should We Emergently Revascularize Occluded Coronaries for Cardiogenic Shock. N Engl J Med 341 (1999) 625
15. Dzavik V., Sleeper L.A., Cocke T.P., et al. Early revascularization is associated with improved survival in elderly patients with acute myocardial infarction complicated by cardiogenic shock: a report from the SHOCK Trial Registry. Eur Heart J 24 (2003) 828
16. Nikus K.C., and Sclarovsky S. ST elevation in lead aVR as a sign of left main disease-perpetuating an error?. Am J Cardiol 94 (2004) 542
17. Yan A.T., Yan R.T., Kennelly B.M., et al. Relationship of ST elevation in lead aVR with angiographic findings and outcome in non-ST elevation acute coronary syndromes. Am Heart J 154 (2007) 71
18. Kosuge M., Kimura K., Ishikawa T., et al. ST-segment depression in lead aVR: a useful predictor of impaired myocardial reperfusion in patients with inferior acute myocardial infarction. Chest 128 (2005) 780
19. Senaratne M.P., Weerasinghe C., Smith G., and Mooney D. Clinical utility of ST-segment depression in lead AVR in acute myocardial infarction. J Electrocardiol 36 (2003) 11-16
20. Olmsted W.L., Groden D.L., and Silverman M.E. Prognosis in survivors of acute myocardial infarction occurring at age 70 years or older. Am J Cardiol 60 (1987) 971
21. Hindman M.C., Wagner G.S., JaRo M., et al. The clinical significance of bundle branch block complicating acute myocardial infarction. 1. Clinical characteristics, hospital mortality, and one-year follow-up. Circulation 58 (1978) 679
22. Lee K.L., Woodlief L.H., Topol E.J., et al. Predictors of 30-day mortality in the era of reperfusion for acute myocardial infarction. Results from an international trial of 41,021 patients. GUSTO-I Investigators. Circulation 91 (1995) 1659