An unusual presentation of left anterior descending artery occlusion: Significance of lead aVR and T-wave direction

Journal of Electrocardiology

Volumn 44, Issue 1, 2011, Pages 27-30

  Gul, Enes E ^a   Nikus, Kjell C ^b  

^a SELCUK UNIVERSITY   (Turkey)

^b TAMPERE UNIVERSITY HOSPITAL   (Finland)

Author keywords

[No Author keywords available]

Indexed keywords

CREATINE KINASE MB; TROPONIN I;

ACUTE HEART INFARCTION; ADULT; ANGIOCARDIOGRAPHY; ARTICLE; CASE REPORT; CORONARY STENT; ECHOCARDIOGRAPHY; ELECTROCARDIOGRAPHY; HEART PALPITATION; HUMAN; LEFT ANTERIOR DESCENDING CORONARY ARTERY; MALE; PRIORITY JOURNAL; PROTEIN BLOOD LEVEL; SINUS BRADYCARDIA; ST SEGMENT DEPRESSION; ST SEGMENT ELEVATION; ST SEGMENT ELEVATION MYOCARDIAL INFARCTION; T WAVE; THORAX PAIN;

CORONARY STENOSIS; ELECTROCARDIOGRAPHY; HUMANS; MALE; MIDDLE AGED; MYOCARDIAL INFARCTION;

EID: 78650465779     PISSN: 00220736     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jelectrocard.2010.08.009     Document Type: Article

References (13)

1. Bayes de Luna A., Wagner G., and Birnbaum Y. International Society for Holter and Noninvasive Electrocardiography: a new terminology for the left ventricular walls and for the location of Q wave and Q wave equivalent myocardial infarction based on the standard of cardiac magnetic resonance imaging. A statement for healthcare professionals from a committee appointment by the International Society for Holter and Non Invasive Electrocardiography Circulation 114 2006 1755
2. Karha J., Murphy S.A., and Kirtane A.J. TIMI Study Group: evaluation of the association of proximal coronary culprit artery lesion with clinical outcomes in acute myocardial infarction Am J Cardiol 92 2003 913
3. Fiol M., Carrillo A., and Cygankiewicz I. A new electrocardiographic algorithm to locate the occlusion in left anterior descending coronary artery Clin Cardiol 32 2009 E1
4. Eskola M.J., Nikus K.C., and Holmvang L. Value of the 12-lead electrocardiogram to define the level of obstruction in acute anterior wall myocardial infarction: correlation to coronary angiography and clinical outcome in the DANAMI-2 trial Int J Cardiol. 131 2009 378
5. Barrabes J.A., Figueras J., and Moure C. Prognostic value of lead aVR in patients with a first non-ST -segment elevation acute myocardial infarction Circulation 108 2003 814
6. Kosuge M., Kimura K., and Ishikawa T. Predictors of left main or three-vessel disease in patients who have acute coronary syndromes with non-ST-segment elevation Am J Cardiol 95 2005 1366
7. Yamaji H., Iwasaki K., and Kusachi S. 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 V1 J Am Coll Cardiol 38 2001 1348
8. Nikus K.C., and Eskola M.J. Electrocardiogram patterns in acute left main coronary artery occlusion J of Electrocardiol 41 2008 626
9. Aygul N., Ozdemir K., and Tokac M. 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 J Electrocardiol 41 2008 335
10. Sclarovsky S., Rechavia E., and Strasberg B. Unstable angina: ST segment depression with positive versus negative T wave deflections-clinical course, ECG evolution, and angiographic correlation Am Heart J 116 1988 933
11. Nikus K.C., Eskola M.J., and Virtanen V.K. ST-depression with negative T waves in leads V4-V5-a marker of severe coronary artery disease in non-ST elevation acute coronary syndrome: a prospective study of Angina at rest, with troponin, clinical, electrocardiographic, and angiographic correlation Ann Noninvasive Electrocardiol 9 2004 207
12. de Winter R.J., Verouden N.J., Wellens H.J., and Wilde A.A. Interventional Cardiology Group of the Academic Medical Center. A new ECG sign of proximal LAD occlusion N Engl J Med 359 2008 2071
13. Nikus K., Pahlm O., and Wagner G. Electrocardiographic classification of acute coronary syndromes: a review by a committee of the International Society for Holter and Non-invasive Electrocardiology J Electrocardiol 43 2010 91