Literature DB >> 36168367

Left Main Coronary Artery Disease: The Forgotten Lead of Electrocardiogram Is Predictive.

Pradnya Brijmohan Bhattad1, Akil A Sherif1, Ajay K Mishra1, Mazen Roumia1.   

Abstract

An ST segment depression in eight or more leads along with ST segment elevation in lead aVR or V1, especially occurring during ischemic symptoms, has a very high predictive accuracy of left main or three-vessel disease, or tight proximal left anterior descending (LAD) coronary artery stenosis. We describe a classic case of a patient who presented with ST elevation in the lead aVR with diffuse ST segment depression during anginal symptoms and was found to have severe disease in the distal left main, ostial circumflex, and left anterior descending artery on an emergent coronary angiogram.
Copyright © 2022, Bhattad et al.

Entities:  

Keywords:  avr lead; ecg; left main coronary artery disease (lmcad); proximal left anterior descending artery disease; subendocardial ischemia

Year:  2022        PMID： 36168367      PMCID： PMC9506673          DOI： 10.7759/cureus.28391

Source DB:  PubMed          Journal:  Cureus        ISSN： 2168-8184


  6 in total

1.  Predictors of left main or three-vessel disease in patients who have acute coronary syndromes with non-ST-segment elevation.

Authors:  Masami Kosuge; Kazuo Kimura; Toshiyuki Ishikawa; Toshiaki Ebina; Tomoaki Shimizu; Kiyoshi Hibi; Noritaka Toda; Yoshio Tahara; Kengo Tsukahara; Masahiko Kanna; Jyunn Okuda; Naoki Nozawa; Hiroyuki Ozaki; Hideto Yano; Satoshi Umemura
Journal:  Am J Cardiol       Date:  2005-06-01       Impact factor: 2.778

2.  Value of ST-segment change in lead aVR in diagnosing left main disease in Non-ST-elevation acute coronary syndrome-A meta-analysis.

Authors:  Gien-Kuo Lee; Yen-Ping Hsieh; Shang-Wei Hsu; Shou-Jen Lan; Kshitij Soni
Journal:  Ann Noninvasive Electrocardiol       Date:  2019-09-18       Impact factor: 1.468

3.  Prediction of acute left main coronary artery obstruction by 12-lead electrocardiography. ST segment elevation in lead aVR with less ST segment elevation in lead V(1).

Authors:  H Yamaji; K Iwasaki; S Kusachi; T Murakami; R Hirami; H Hamamoto; K Hina; T Kita; N Sakakibara; T Tsuji
Journal:  J Am Coll Cardiol       Date:  2001-11-01       Impact factor: 24.094

4.  Value of the electrocardiogram in localizing the occlusion site in the left anterior descending coronary artery in acute anterior myocardial infarction.

Authors:  D J Engelen; A P Gorgels; E C Cheriex; E D De Muinck; A J Ophuis; W R Dassen; J Vainer; V G van Ommen; H J Wellens
Journal:  J Am Coll Cardiol       Date:  1999-08       Impact factor: 24.094

5.  Combined prognostic utility of ST segment in lead aVR and troponin T on admission in non-ST-segment elevation acute coronary syndromes.

Authors:  Masami Kosuge; Kazuo Kimura; Toshiyuki Ishikawa; Toshiaki Ebina; Kiyoshi Hibi; Kengo Tsukahara; Masahiko Kanna; Noriaki Iwahashi; Jyun Okuda; Naoki Nozawa; Hiroyuki Ozaki; Hideto Yano; Ikuyoshi Kusama; Satoshi Umemura
Journal:  Am J Cardiol       Date:  2006-02-01       Impact factor: 2.778

6.  Short- and long-term prognostic significance of ST-segment elevation in lead aVR in patients with non-ST-segment elevation acute coronary syndrome.

Authors:  Nevio Taglieri; Antonio Marzocchi; Francesco Saia; Cinzia Marrozzini; Tullio Palmerini; Paolo Ortolani; Laura Cinti; Stefania Rosmini; Fabio Vagnarelli; Laura Alessi; Caterina Villani; Giuseppe Scaramuzzino; Ilaria Gallelli; Giovanni Melandri; Angelo Branzi; Claudio Rapezzi
Journal:  Am J Cardiol       Date:  2011-04-27       Impact factor: 2.778
  6 in total

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