Usefulness of ST-Segment Elevation in Lead III Exceeding That of Lead II for Identifying the Location of the Totally Occluded Coronary Artery in Inferior Wall Myocardial Infarction

The presence of ST-segment elevation in lead III exceeding that of lead II, particularly if combined with ST elevation in lead V1, proved to be a powerful marker for occlusion of the proximal or midportion of the right coronary artery. These findings helped to determine the extent of myocardium at r...

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Published inThe American journal of cardiology Vol. 81; no. 7; pp. 918 - 919
Main Authors Zimetbaum, Peter J, Krishnan, Subramaniam, Gold, Alexander, Carrozza, Joseph P, Josephson, Mark E
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.04.1998
Elsevier Limited
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Summary:The presence of ST-segment elevation in lead III exceeding that of lead II, particularly if combined with ST elevation in lead V1, proved to be a powerful marker for occlusion of the proximal or midportion of the right coronary artery. These findings helped to determine the extent of myocardium at risk in inferior wall myocardial infarction and may further guide the decision to administer thrombolytics.
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ISSN:0002-9149
1879-1913
DOI:10.1016/S0002-9149(98)00013-7