Usefulness of ST-segment elevation in lead III exceeding that of lead II for identifying the location of the totally occluded coronary artery in inferior wall myocardial infarction

被引:92
作者
Zimetbaum, PJ [1 ]
Krishnan, S [1 ]
Gold, A [1 ]
Carrozza, JP [1 ]
Josephson, ME [1 ]
机构
[1] Harvard Univ, Sch Med, Beth Israel Deaconess Med Ctr, Dept Med,Cardiovasc Div, Boston, MA 02115 USA
关键词
D O I
10.1016/S0002-9149(98)00013-7
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The presence of ST-segment elevation in lead III exceeding that of lead II, particularly if combined with ST elevation in lead V-1, proved to be a powerful marker for occlusion of the proximal or midportion of the right coronary artery. These findings helped to determine the extent of myocardium at risk in inferior wall myocardial infarction and may further guide the decision to administer thrombolytics.
引用
收藏
页码:918 / +
页数:3
相关论文
共 4 条
[1]   RIGHT VENTRICULAR INFARCTION - DIAGNOSTIC-VALUE OF ST ELEVATION IN LEAD-III EXCEEDING THAT OF LEAD-II DURING INFERIOR POSTERIOR INFARCTION AND COMPARISON WITH RIGHT-CHEST LEADS V3R TO V7R [J].
ANDERSEN, HR ;
NIELSEN, D ;
FALK, E .
AMERICAN HEART JOURNAL, 1989, 117 (01) :82-86
[2]   INFERIOR MYOCARDIAL-INFARCTION - HIGH-RISK SUBGROUPS [J].
BERGER, PB ;
RYAN, TJ .
CIRCULATION, 1990, 81 (02) :401-411
[3]   RIGHT AND LEFT-VENTRICULAR EJECTION FRACTION IN ACUTE INFERIOR WALL INFARCTION WITH OR WITHOUT ST SEGMENT ELEVATION IN LEAD V4R [J].
BRAAT, SH ;
BRUGADA, P ;
DEZWAAN, C ;
DENDULK, K ;
WELLENS, HJJ .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1984, 4 (05) :940-944
[4]   VALUE OF LEAD V4R FOR RECOGNITION OF THE INFARCT CORONARY-ARTERY IN ACUTE INFERIOR MYOCARDIAL-INFARCTION [J].
BRAAT, SH ;
BRUGADA, P ;
DENDULK, K ;
VANOMMEN, V ;
WELLENS, HJJ .
AMERICAN JOURNAL OF CARDIOLOGY, 1984, 53 (11) :1538-1541