Open AccessPROGNOSTIC VALUE OF ST SEGMENT ELEVATION IN ADDITIONAL RIGHT ECG LEADS IN PATIENTS WITH INFERIOR MYOCARDIAL INFARCTION
Author(s) -
К. Ю. Главатских,
И. Ю. Лукьянова,
Т. П. Булач
Publication year - 2020
Publication title -
juvenis scientia
Language(s) - English
Resource type - Journals
eISSN - 2414-3790
pISSN - 2414-3782
DOI - 10.32415/jscientia_2020_6_3_35-43
Subject(s) - medicine , cardiology , myocardial infarction , st segment , electrocardiography , bradycardia , st elevation , sinus rhythm , heart rate , blood pressure , atrial fibrillation
The article presents data on the prognostic value of ST segment elevation on an electrocardiogram in additional right chest leads V 3 R-V 4 R during the acute period of myocardial infarction in patients with inferior wall myocardial infarction. The study included patients with inferior wall myocardial infarction (n=101) aged 34 to 85 years. Elevation of the ST segment in leads V 3 R-V 4 R ≥0.5 mV was observed in 35 patients (35%). It was revealed that the ST segment elevation in the V 3 R-V 4 R leads is an unfavorable prognostic sign in terms of the risk of arterial hypotension in the acute period of myocardial infarction, heart rhythm disturbances, and hemodynamically significant sinus bradycardia.