Open AccessST elevation in ECG lead aVR signals severe acute left main coronary artery disease
Author(s) -
Amardeep Ghosh Dastidar,
Pankaj Garg,
J. M. West,
Rangasamy Muthusamy,
Julian Gunn
Publication year - 2013
Publication title -
acute medicine
Language(s) - English
Resource type - Journals
eISSN - 1747-4892
pISSN - 1747-4884
DOI - 10.52964/amja.0324
Subject(s) - medicine , cardiology , myocardial infarction , percutaneous coronary intervention , acute coronary syndrome , coronary artery disease , st elevation , electrocardiography , st segment , abnormality , psychiatry
Patients with suspected acute coronary syndrome are commonly assessed by acute physicians on arrival in hospital. Although most will recognise the typical ECG features of ST elevation myocardial infarction, the significance of ST elevation in lead aVR may not always be appreciated. This case series describes 6 cases in which this ECG abnormality was the predominant feature in patients whose subsequent angiogram revealed severe acute left main coronary artery disease. The importance of early referral of such patients to a centre in which percutaneous coronary intervention can be performed, is discussed.