scholarly journals Clinical Implications of Precordial ST-segment Elevation in Acute Inferoposterior Myocardial Infarction Caused by Proximal Right Coronary Artery Occlusion

2007 ◽  
Vol 30 (7) ◽  
pp. 331-335 ◽  
Author(s):  
Man-Hong Jim ◽  
Annie On-On Chan ◽  
Chun-Pong Wong ◽  
Kai-Hang Yiu ◽  
Raymond Miu ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Coronary Artery ◽  
Right Coronary Artery ◽  
Coronary Artery Occlusion ◽  
Artery Occlusion ◽  
Clinical Implications ◽  
St Segment Elevation ◽  
St Segment ◽  
Proximal Right Coronary Artery

scholarly journals A Sign to Heaven: aVR Lead Elevation and Myocardial Infarction

2011 ◽  
Vol 11 ◽  
pp. 662-665
Author(s):  
Amir M. Nia ◽  
Natig Gassanov ◽  
Hannes Reuter ◽  
Fikret Er
Keyword(s):  
Myocardial Infarction ◽  
Coronary Artery ◽  
Proximal Part ◽  
Coronary Artery Occlusion ◽  
Artery Occlusion ◽  
Correct Treatment ◽  
Total Occlusion ◽  
St Segment Elevation ◽  
St Segment ◽  
Long Time

Isolated ST-segment elevation only in the aVR lead, reflecting an acute myocardial infarction due to a left main coronary artery occlusion, was ignored as part of physicians' training in emergency medicine for a long time. The recognition of aVR lead elevation is becoming more accepted as a mandatory diagnostic tool, in particular for physicians working at emergency departments. We report a typical myocardial infarction with total occlusion of the proximal part of the left anterior coronary artery, presenting with ST-segment elevation in the aVR lead, which was misinterpreted as diffuse ischemia. The lacking mandatory awareness of this entity endangered prompt and correct treatment.

Sign in / Sign up

Export Citation Format

Share Document