The value of ECG lead aVR in the differential diagnosis of acute inferior wall myocardial infarction

Tong-wen Sun, Lexin Wang, Yan-zhou Zhang

Research output: Contribution to journalArticlepeer-review

22 Citations (Scopus)
15 Downloads (Pure)

Abstract

Objectives: To investigate whether the ST changes in the aVR lead on 12-lead ECG can be used to identify infarct-related artery (IRA) in patients with acute inferior myocardial infarction.Methods: The ECG features were studied in 90 patients with acute inferior myocardial infarction where IRA was confirmed by coronary angiography.Results: Right coronary artery (RCA) and the left circumflex coronary artery (LCX) were identified as IRA in 70 and 20 patients, respectively. ST depression in aVR ≥0.1 mV was found in 14 (70%) patients who had LCX as the IRA, and in 4 (5.7%, p<0.001) patients with RCA as IRA. Using ST segment depression ≥0.1mV in aVR as a criterion, the sensitivity and specificity in differentiating LCX as IRA was 70.0% and 94.3%, respectively.Conclusions: ST depression in aVR is common in patients with LCX-related acute inferior myocardial infarction. The ST changes in this lead are associated with an excellent specificity and a good sensitivity in differentiating LCX from RCA as the IRA.
Original languageEnglish
Pages (from-to)795-799
Number of pages5
JournalInternal Medicine
Volume46
Issue number12
Publication statusPublished - 2007

Fingerprint Dive into the research topics of 'The value of ECG lead aVR in the differential diagnosis of acute inferior wall myocardial infarction'. Together they form a unique fingerprint.

Cite this