Exercise-induced ST-segment elevation in leads aVR and V1 for the prediction of left main disease

International Journal of Cardiology

Volumn 128, Issue 2, 2008, Pages 240-243

  Tuna Katircibasi M ^a   Tolga Kocum H ^a   Tekin, Abdullah ^a   Erol, Tansel ^a   Tekin, Göknur ^a   Baltali, Mehmet ^a   Müderrisoǧlu, Haldun ^a  

^a BASKENT UNIVERSITY   (Turkey)

Author keywords

Exercise testing; Lead aVR; Lead V1; Left main coronary artery disease

Indexed keywords

ADULT; AGED; ARTICLE; CHI SQUARE TEST; CONTROLLED STUDY; CORONARY ARTERY DISEASE; ELECTROCARDIOGRAPHY; EXERCISE; FEMALE; HEART MUSCLE ISCHEMIA; HUMAN; MAJOR CLINICAL STUDY; MALE; PRIORITY JOURNAL; ST SEGMENT ELEVATION; STUDENT T TEST;

CORONARY ANGIOGRAPHY; CORONARY STENOSIS; ELECTROCARDIOGRAPHY; EXERCISE TEST; FEMALE; HUMANS; MALE; MIDDLE AGED; RETROSPECTIVE STUDIES; SENSITIVITY AND SPECIFICITY;

EID: 47849098236     PISSN: 01675273     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ijcard.2007.05.022     Document Type: Article

References (16)

1. Dunn R.F., Freedman B., Bailey I.K., Uren R.F., and Kelly D.T. Localization of coronary artery disease with exercise electrocardiography: correlation with thallium-201 myocardial perfusion scanning. Am J Cardiol 48 (1981) 837-843
2. Gianrossi R., Detrano R., Mulvihill D., et al. Exercise-induced ST depression in the diagnosis of coronary artery disease. A meta-analysis. Circulation 80 (1989) 87-98
3. Gaitonde R.S., Sharma N., Ali-Hasan S., Miller J.M., Jayachandran J.V., and Kalaria V.G. Prediction of significant left main coronary artery stenosis by the 12-lead electrocardiogram in patients with rest angina pectoris and the withholding of clopidogrel therapy. Am J Cardiol 92 (2003) 846-848
4. 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) 1348-1354
5. Gorgels A.P., Vos M.A., Mulleneers R., de Zwaan C., Bar F.W., and Wellens H.J. Value of the electrocardiogram in diagnosing the number of severely narrowed coronary arteries in rest angina pectoris. Am J Cardiol 72 (1993) 999-1003
6. Michaelides A.P., Psomadaki Z.D., Richter D.J., et al. Exercise-induced ST-segment changes in lead V1 identify the significantly narrowed coronary artery in patients with single-vessel disease: correlation with thallium-201 scintigraphy and coronary arteriography data. J Electrocardiol 32 (1999) 7-14
7. Gibbons R.J., Balady G.J., Bricker J.T., et al. American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Update the 1997 Exercise Testing Guidelines). ACC/AHA 2002 guideline update for exercise testing: summary article: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Update the 1997 Exercise Testing Guidelines). Circulation 106 (2002) 1883-1892
8. Mark D.B., Hlatky M.A., Harrell Jr. F.E., Lee K.L., Califf R.M., and Pryor D.B. Exercise treadmill score for predicting prognosis in coronary artery disease. Ann Intern Med 106 (1987) 793-800
9. Yu P.N., and Stewart J.M. Subendocardial myocardial infarction with special reference to the electrocardiographic changes. Am Heart J 39 (1950) 862-880
10. Sclarovsky S. Angina at rest and acute myocardial ischaemia. In: Sclarovsky S. (Ed). Electrocardiography of Acute Myocardial Ischaemic Syndromes (1999), Martin Dunitz, London 1-29
11. 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) 542-543
12. Mason R.E., Likar I., Biern R.O., and Ross R.S. Multiple-lead exercise electrocardiography. Experience in 107 normal subjects and 67 patients with angina pectoris, and comparison with coronary cinearteriography in 84 patients. Circulation 36 (1967) 517-525
13. Nikus K.C., Eskola J.M., Sclarovsky S., and Wagner G. Similarity of electrocardiographic changes in demand ischemia and supply ischemia caused by left main or 3-vessel disease. J Electrocardiol 40 (2007) S42-S44
14. Neill J., Shannon H.J., Morton A., Muir A.R., Harbinson M., and Adgey J.A. ST segment elevation in lead aVR during exercise testing is associated with LAD stenosis. Eur J Nucl Med Mol Imaging 34 (2007) 338-345
15. Gallik D.M., Mahmarian J.J., and Verani M.S. Therapeutic significance of exercise-induced ST segment elevation in patients without previous myocardial infarction. Am J Cardiol 72 (1993) 1-7
16. Dunn R.F., Freedman B., Kelly D.T., Bailey I.K., and McLaughlin A. Exercise-induced ST segment elevation in leads V1 or aVL. A predictor of anterior myocardial ischemia and left anterior descending coronary artery disease. Circulation 63 (1981) 1357-1363