Prediction of significant left main coronary artery stenosis by the 12-lead electrocardiogram in patients with rest angina pectoris and the withholding of clopidogrel therapy

被引:38
作者
Gaitonde, RS [1 ]
Sharma, N [1 ]
Ali-Hasan, S [1 ]
Miller, JM [1 ]
Jayachandran, JV [1 ]
Kalaria, VG [1 ]
机构
[1] Indiana Univ, Krannert Inst Cardiol, Clarian Cardiovasc Ctr, Dept Med,Sch Med, Indianapolis, IN 46202 USA
关键词
D O I
10.1016/S0002-9149(03)00898-1
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We report the prospective use of an electrocardiographic sign-lead aVR ST-segment elevation greater than that seen in lead V-1-in patients with an acute coronary syndrome as a method to prompt early angiography, to withhold clopidogrel therapy, and to perform urgent coronary bypass surgery leading to successful clinical outcomes. (C) 2003 by Excerpta Medica, Inc.
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收藏
页码:846 / 848
页数:3
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