The early recognition of right ventricular infarction: diagnostic accuracy of the electrocardiographic V4R lead. | Zendy

Herman O. Klein | Zendy; Therese Tordjman | Zendy; R Ninio | Zendy; Pinhas Sareli | Zendy; V. Oren | Zendy; RM Lang | Zendy; Jacob Gefen | Zendy; C Pauzner | Zendy; Elio Di Segni | Zendy; D. David | Zendy; Elieser Kaplinsky | Zendy

AI Assistant Blog Pricing

Home ZAIA Blog

Open Access

The early recognition of right ventricular infarction: diagnostic accuracy of the electrocardiographic V4R lead.

Author(s) -

Herman O. Klein,

Therese Tordjman,

R Ninio,

Pinhas Sareli,

V. Oren,

RM Lang,

Jacob Gefen,

C Pauzner,

Elio Di Segni,

D. David,

Elieser Kaplinsky

Publication year - 1983

Publication title -

circulation

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 7.795

H-Index - 607

eISSN - 1524-4539

pISSN - 0009-7322

DOI - 10.1161/01.cir.67.3.558

Subject(s) - medicine , cardiology , myocardial infarction , infarction , scintigraphy , radionuclide ventriculography , electrocardiography , precordial examination , radiology , heart failure , ejection fraction

The sensitivity and specificity of ST-segment elevation in the right precordial lead V4R as an early indicator of right ventricular infarction were examined in a consecutive series of 110 patients admitted for acute inferior myocardial infarction. The sensitivity was 82.7%, the specificity 76.9% and the positive predictive value 70% in 58 patients with right ventricular infarction documented by autopsy or a combination of radionuclide ventriculography and one or more of the following tests: echocardiography, technetium-99m pyrophosphate scintigraphy and hemodynamic monitoring. The negative predictive value was 87.7%. Because of its simplicity and its high sensitivity and specificity, recording of V4R should be an intrinsic part of the early evaluation and electrocardiographic examination of acute inferior wall infarction.

The content you want is available to Zendy users.

Already have an account? Click here to sign in.

Having issues? You can contact us here

Accelerating Research