scholarly journals Predictive value of electrocardiographic ST‑segment elevation myocardial infarction equivalents for detecting acute coronary artery occlusion in patients with non–ST‑segment elevation myocardial infarction

2019 ◽  
Vol 77 (6) ◽  
pp. 624-631 ◽  
Author(s):  
Paweł Wiśniewski ◽  
Paweł Rostoff ◽  
Grzegorz Gajos ◽  
Jadwiga Nessler ◽  
Olga Kruszelnicka
Keyword(s):  
Myocardial Infarction ◽  
Coronary Artery ◽  
Predictive Value ◽  
Coronary Artery Occlusion ◽  
Artery Occlusion ◽  
St Segment Elevation ◽  
Segment Elevation Myocardial Infarction ◽  
St Segment

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.

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