Original Article
PREdiction of ST deviations in lead aVR as a noninvasive tool to predict the infarct-Related coronary artery in patients with acute Inferior-wall Myocardial Infarction (The PREST-RIMI Study)
Author(s): Santosh Kumar Sinha*, Vikas Mishra, Ramesh Thakur, Mukesh Jitendra Jha, Amit Goel, Ashutosh Kumar, Chandra Mohan Varma, Vinay Krishna, Avinash Kumar Singh and Rupesh Sinha
Background: Acute myocardial infarction is one of the most common presentations of coronary artery disease (CAD). Although coronary angiography remains the gold standard for identification of the infarctrelated artery (IRA), conventional 12-lead electrocardiography (ECG) is an essential tool for diagnosis, risk stratification and prognosis. If specific ECG patterns can be recognized, it will be possible to determine the IRA and size of the ventricular area that is jeopardized. The existing ECG algorithms have good sensitivity for the right coronary artery (RCA) and good specificity for the left circumflex artery (LCx) as predictors of IRA in patients with acute inferior-wall myocardial infarction (IWMI), while the specificity for the RCA and sensitivity for the LCx are modest.
OBJECTIVE: To evaluate deviations in lead aVR to predict IRA in patients with IWMI, and to validate s.. Read More»
DOI:
10.4172/2368-0512.1000057
