Usefulness of ST elevation II/III ratio and ST deviation in lead I for identifying the culprit artery in inferior wall acute myocardial infarction

被引:92
作者
Chia, BL [1 ]
Yip, JWL [1 ]
Tan, HC [1 ]
Lim, YT [1 ]
机构
[1] Natl Univ Hosp, Dept Cardiac, Singapore 119074, Singapore
关键词
D O I
10.1016/S0002-9149(00)00929-2
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In a study of 92 patients presenting with inferior wall acute myocardial infarction, the infarct-related artery was the right coronary artery in 72 patients (78%) and the left circumflex artery in 20 (22%). An ST II/III ratio of 1 or an isoelectric ST in lead I are sensitive and specific markers of left circumflex artery occlusion, whereas an ST II/III ratio <1 (ST elevation in lead III >II) or ST depression in lead I are sensitive and specific markers of right coronary artery occlusion.
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页码:341 / +
页数:4
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