Literature DB >> 24769663

Lead aVR: beyond 'No man's land'.

Bhupinder Singh1, Amjad Ali, Vivek Singla, Sadananda K Gowda.   

Abstract

Coronary artery disease (CAD) is one of the leading causes of mortality in the world. Treadmill test is a very useful non-invasive test to diagnose and stratify the risk of CAD. Lead aVR is usually a neglected lead while reading the ECG. We describe a case demonstrating the importance of subtle changes in lead aVR that has got a direct angiographic correlation with left main CAD. Therefore picking up the subtle clues on ECG may help in stratifying the risk and optimal treatment of the patient in a timely fashion.

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Year:  2014        PMID: 24769663      PMCID: PMC4009833          DOI: 10.1136/bcr-2013-202697

Source DB:  PubMed          Journal:  BMJ Case Rep        ISSN: 1757-790X


  12 in total

1.  Value of lead aVR in the detection of significant left main coronary artery stenosis in acute coronary syndrome.

Authors:  Paweł Rostoff; Wiesława Piwowarska; Ewa Konduracka; Anna Libionka; Marzena Bobrowska-Juszczuk; Katarzyna Stopyra; Andrzej Gackowski; Aleksander Kubinyi; Bohdan Nessler; Danuta Mroczek-Czernecka
Journal:  Kardiol Pol       Date:  2005-02       Impact factor: 3.108

2.  The standard 11-lead ECG. Neglect of lead aVR in the classical limb lead display.

Authors:  U S Pahlm; O Pahlm; G S Wagner
Journal:  J Electrocardiol       Date:  1996       Impact factor: 1.438

3.  The clinical significance of exercise-induced ST-segment elevation.

Authors:  R A Chahine; A E Raizner; T Ishimori
Journal:  Circulation       Date:  1976-08       Impact factor: 29.690

4.  The global burden of disease in 1990: summary results, sensitivity analysis and future directions.

Authors:  C J Murray; A D Lopez; D T Jamison
Journal:  Bull World Health Organ       Date:  1994       Impact factor: 9.408

5.  Role of nondiagnostic exercise-induced ST-segment abnormalities in predicting future coronary events in asymptomatic volunteers.

Authors:  Tomasz M Rywik; Frances C O'Connor; Neil S Gittings; Jeanette G Wright; Akbar A Khan; Jerome L Fleg
Journal:  Circulation       Date:  2002-11-26       Impact factor: 29.690

6.  Treadmill stress tests as indicators of presence and severity of coronary artery disease.

Authors:  N Goldschlager; A Selzer; K Cohn
Journal:  Ann Intern Med       Date:  1976-09       Impact factor: 25.391

7.  Prediction of isolated first diagonal branch occlusion by 12-lead electrocardiography: ST segment shift in leads I and aVL.

Authors:  K Iwasaki; S Kusachi; T Kita; G Taniguchi
Journal:  J Am Coll Cardiol       Date:  1994-06       Impact factor: 24.094

8.  Use of treadmill score to quantify ischemic response and predict extent of coronary disease.

Authors:  K Cohn; B Kamm; N Feteih; R Brand; N Goldschlager
Journal:  Circulation       Date:  1979-02       Impact factor: 29.690

9.  Exercise-induced ST elevation in patients without myocardial infarction.

Authors:  J C Longhurst; W L Kraus
Journal:  Circulation       Date:  1979-09       Impact factor: 29.690

10.  Hypotension accompanying the onset of exertional angina. A sign of severe compromise of left ventricular blood supply.

Authors:  P D Thomson; M H Kelemen
Journal:  Circulation       Date:  1975-07       Impact factor: 29.690

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