ST-segment depression in aVR as a predictor of culprit artery and infarct size in acute inferior wall ST-segment elevation myocardial infarction
| Autor: | Jyoti Sharma, Ravi Diwan, John Fox, Paul Schweitzer, Yumiko Kanei, Lori Vales, Ron Sklash |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Male
medicine.medical_specialty Myocardial Infarction Infarction Coronary Artery Disease Sensitivity and Specificity Electrocardiography Internal medicine medicine.artery medicine Humans ST segment Diagnosis Computer-Assisted cardiovascular diseases Circumflex Myocardial infarction Depression (differential diagnoses) business.industry Reproducibility of Results Middle Aged medicine.disease medicine.anatomical_structure Right coronary artery cardiovascular system Cardiology Female Myocardial infarction diagnosis Cardiology and Cardiovascular Medicine business Artery |
| Zdroj: | Journal of Electrocardiology. 43:132-135 |
| ISSN: | 0022-0736 |
| DOI: | 10.1016/j.jelectrocard.2009.09.003 |
| Popis: | Background ST-segment depression in lead aVR in acute inferior wall ST-segment elevation myocardial infarction (STEMI) has recently been suggested as a predictor of left circumflex (LCx) artery involvement. The purpose of this study is to evaluate the clinical significance of aVR depression during inferior wall STEMI. Methods This study included 106 consecutive patients who presented with inferior wall STEMI and underwent urgent coronary angiogram. Clinical and angiographic findings were compared between patients with and without aVR depression ≥0.1 mV. Results The sensitivity and specificity of aVR depression as a predictor of LCx infarction were 53% and 86%, respectively. In patients with right coronary artery infarction, aVR depression was associated with increased cardiac enzymes and the involvement of a large posterolateral branch, which may explain the larger infarction. Conclusions ST-segment depression in lead aVR in inferior wall STEMI predicts LCx infarction or larger RCA infarction involving a large posterolateral branch. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect