Prediction of the site of total occlusion in the left anterior descending coronary artery using admission electrocardiogram in anterior wall acute myocardial infarction

Am J Cardiol. 2000 Feb 15;85(4):487-91, A10. doi: 10.1016/s0002-9149(99)00777-8.


In anterior acute myocardial infarction, ST elevation in aVL and ST depression in II, III, and aVF predict a culprit lesion in the left anterior descending artery proximal to the origin of the first diagonal branch, with good specificity and positive predictive value. Inferior ST depression is not related to remote ischemia but represents an electrocardiographic phenomenon reciprocal to ST elevation in aVL.

Publication types

  • Clinical Trial
  • Comparative Study

MeSH terms

  • Coronary Angiography
  • Diagnosis, Differential
  • Diagnostic Tests, Routine / methods*
  • Electrocardiography*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Myocardial Infarction / diagnosis*
  • Myocardial Infarction / physiopathology
  • Predictive Value of Tests
  • Prospective Studies
  • Radionuclide Ventriculography
  • Reproducibility of Results
  • Stroke Volume