Clinical utility of ST-segment depression in lead AVR in acute myocardial infarction☆

Abstract

The present study evaluated the prevalence and significance of ST-segment depression (STD) in lead aVR on the admission 12-lead electrocardiogram in 307 consecutive patients with an acute myocardial infarction (AMI) with ST-segment elevation. STD in aVR was present in a significantly higher proportion of patients with inferior/posterior AMIs. Within inferior/posterior AMIs those with STD in aVR had significantly more concomitant STD in V1, V2, V3 and more concomitant STesegment elevation in V5, V6 and right precordial leads. These data suggests that STD in aVR may point to a coronary artery with a large area of supply as the culprit vessel responsible for the AMI.

Keywords: Electrocardiography, myocardial infarction, Pathophysiology, diagnostic techniques

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Article Outline

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References

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Division of Cardiac Sciences, University of Alberta, Grey Nuns Hospital, Edmonton, Alberta, Canada

☆ Reprint requests: Manohara P.J. Senaratne, FRCPC, FACC, PhD, Clinical Professor, Department of Medicine, University of Alberta, Director Coronary Care Unit, Grey Nuns Hospital, 1100 Youville Drive West, Edmonton, Alberta, Canada, T6L 5X8.

PII: S0022-0736(02)30452-7

doi:10.1054/jelc.2003.50001

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