CLINICAL-SIGNIFICANCE OF S-T SEGMENT ELEVATION IN LEAD AVR IN ANTERIOR MYOCARDIAL-INFARCTION - ASSESSMENT BY TL-201 EXERCISE SCINTIGRAPHY

被引:7
作者
NAKAMORI, H
IWASAKA, T
SHIMADA, T
KAMIHATA, H
KARAKAWA, M
MATSUURA, T
KOITO, H
SUGIURA, T
INADA, M
SUGA, Y
机构
[1] Second Department of Internal Medicine, Kansai Medical University, Moriguchi City, Osaka
关键词
LEAD AVR; REVERSIBLE MYOCARDIAL ISCHEMIA; EXERCISE ELECTROCARDIOGRAPHY;
D O I
10.1159/000176861
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The significance of exercise-induced S-T elevation in aVR was studied in 57 patients with recent anterior infarction and single-vessel disease. S-T elevation in aVR was found at peak exercise in 24 patients. Although the initial defect area was similar in the groups with and without S-T elevation in aVR, the redistribution area was larger in the former group (p < 0.01). When three electrocardiographic criteria were used in the multivariate analysis, S-T elevation in aVR was the significant variable related to redistribution in the anterior wall. Thus, S-T elevation in aVR may indicate ischemia of the anterior wall.
引用
收藏
页码:147 / 151
页数:5
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