A Sign to Heaven: aVR Lead Elevation and Myocardial Infarction
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 man...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1100/tsw.2011.63 |
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| _version_ | 1832567036533800960 |
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| author | Amir M. Nia Natig Gassanov Hannes Reuter Fikret Er |
| author_facet | Amir M. Nia Natig Gassanov Hannes Reuter Fikret Er |
| author_sort | Amir M. Nia |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-631dd46efb9d473e94bb1ef45e67faef |
| institution | Kabale University |
| issn | 1537-744X |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-631dd46efb9d473e94bb1ef45e67faef2025-02-03T01:02:32ZengWileyThe Scientific World Journal1537-744X2011-01-011166266510.1100/tsw.2011.63A Sign to Heaven: aVR Lead Elevation and Myocardial InfarctionAmir M. Nia0Natig Gassanov1Hannes Reuter2Fikret Er3Department of Internal Medicine III, University of Cologne, Cologne, GermanyDepartment of Internal Medicine III, University of Cologne, Cologne, GermanyDepartment of Internal Medicine III, University of Cologne, Cologne, GermanyDepartment of Internal Medicine III, University of Cologne, Cologne, GermanyIsolated 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.http://dx.doi.org/10.1100/tsw.2011.63 |
| spellingShingle | Amir M. Nia Natig Gassanov Hannes Reuter Fikret Er A Sign to Heaven: aVR Lead Elevation and Myocardial Infarction The Scientific World Journal |
| title | A Sign to Heaven: aVR Lead Elevation and Myocardial Infarction |
| title_full | A Sign to Heaven: aVR Lead Elevation and Myocardial Infarction |
| title_fullStr | A Sign to Heaven: aVR Lead Elevation and Myocardial Infarction |
| title_full_unstemmed | A Sign to Heaven: aVR Lead Elevation and Myocardial Infarction |
| title_short | A Sign to Heaven: aVR Lead Elevation and Myocardial Infarction |
| title_sort | sign to heaven avr lead elevation and myocardial infarction |
| url | http://dx.doi.org/10.1100/tsw.2011.63 |
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