Usefulness of the admission electrocardiogram for identifying the infarct-related artery in inferior wall acute myocardial infarction

M C Kontos; P V Desai; R L Jesse; J P Ornato

doi:10.1016/s0002-9149(96)00709-6

Usefulness of the admission electrocardiogram for identifying the infarct-related artery in inferior wall acute myocardial infarction

Am J Cardiol. 1997 Jan 15;79(2):182-4. doi: 10.1016/s0002-9149(96)00709-6.

Authors

M C Kontos¹, P V Desai, R L Jesse, J P Ornato

Affiliation

¹ Medical College of Virginia/Virginia Commonwealth University, Richmond 23298-0128, USA.

PMID: 9193020
DOI: 10.1016/s0002-9149(96)00709-6

Abstract

We analyzed the admission electrocardiogram in 109 patients with inferior wall acute myocardial infarction in an attempt to determine the infarct-related artery (IRA). The presence of ST depression in leads V1 or V2 had a high sensitivity for predicting the left circumflex artery as the IRA. The lack of ST depression in V1 or V2 had a high negative predictive value for excluding the left circumflex artery as the IRA.

Publication types

Comparative Study

MeSH terms

Coronary Angiography
Coronary Disease / diagnostic imaging
Coronary Disease / pathology
Coronary Vessels / pathology*
Electrocardiography* / classification
Forecasting
Humans
Myocardial Infarction / diagnostic imaging
Myocardial Infarction / pathology*
Myocardial Infarction / physiopathology
Patient Admission
Predictive Value of Tests
Sensitivity and Specificity