PMID- 12383388
OWN - NLM
STAT- MEDLINE
DCOM- 20030124
LR  - 20190916
IS  - 0300-8932 (Print)
IS  - 0300-8932 (Linking)
VI  - 55
IP  - 10
DP  - 2002 Oct
TI  - [Usefulness of the electrocardiogram in predicting the occlusion site in acute 
      anterior myocardial infarction with isolated disease of the left anterior 
      descending coronary artery].
PG  - 1036-41
AB  - INTRODUCTION AND OBJECTIVES: In acute anterior myocardial infarction (AMI), the 
      site of occlusion in the left anterior descending coronary artery (LAD) is 
      related to the extension of myocardial necrosis and the prognosis. The aim of 
      this study was to assess the value of the electrocardiogram (ECG) as a predictor 
      of the LAD occlusion site in patients with anterior AMI. METHODS: Forty-five 
      consecutive patients with a first anterior AMI and isolated disease of the LAD 
      were included. We evaluated retrospectively the ECG with the most pronounced 
      ST-segment changes before fibrinolysis and correlated the findings with the site 
      of LAD occlusion in angiography before hospital discharge in relation to the 
      first dominant septal and first diagonal branch: first septal affected (S), first 
      diagonal affected (D), both affected (S + D), or neither affected were 
      considered. RESULTS: ST depression in leads II, III, or aVF strongly predicted 
      proximal LAD occlusion in S + D, S, and D (p = 0,003, p = 0,04, and p = 0,02, 
      respectively). ST elevation in leads II, III, or aVF was observed only in the 
      presence of wrap-around LAD and was related with occlusion distal to the first 
      diagonal branch. ST elevation > or = 3 mm in lead V1 was a specific predictor of 
      occlusion proximal to first septal (S, p = 0,01). ST elevation in aVR was 
      associated with proximal LAD occlusion in S + D and S (p = 0,03 and p = 0,03, 
      respectively) and absence of coronary collateral circulation. CONCLUSIONS: In 
      anterior AMI and isolated LAD disease, the ECG can be useful in predicting the 
      LAD occlusion site in relation to its major side branches.
FAU - Martinez-Dolz, Luis
AU  - Martinez-Dolz L
AD  - Servicio de Cardiologia. Hospital Universitario La Fe. Valencia. Espana. 
      lmartinezd@meditex.es
FAU - Arnau, Miguel A
AU  - Arnau MA
FAU - Almenar, Luis
AU  - Almenar L
FAU - Rueda, Joaquin
AU  - Rueda J
FAU - Osa, Ana
AU  - Osa A
FAU - Quesada, Anastasio
AU  - Quesada A
FAU - Osca, Joaquin
AU  - Osca J
FAU - Zorio, Esther
AU  - Zorio E
FAU - Palencia, Miguel
AU  - Palencia M
FAU - Cebolla, Romualdo
AU  - Cebolla R
LA  - spa
PT  - Comparative Study
PT  - English Abstract
PT  - Journal Article
TT  - Utilidad del electrocardiograma para predecir el lugar de la oclusion en el 
      infarto agudo de miocardio anterior con enfermedad aislada de la arteria 
      descendente anterior.
PL  - Spain
TA  - Rev Esp Cardiol
JT  - Revista espanola de cardiologia
JID - 0404277
SB  - IM
CIN - Rev Esp Cardiol. 2002 Oct;55(10):1015-7. PMID: 12383384
MH  - Adult
MH  - Age Factors
MH  - Aged
MH  - Confidence Intervals
MH  - Coronary Angiography
MH  - Coronary Vessels/*pathology/physiopathology
MH  - Data Interpretation, Statistical
MH  - *Electrocardiography
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Myocardial Infarction/*diagnosis/pathology/physiopathology
MH  - Prognosis
MH  - Retrospective Studies
MH  - Sensitivity and Specificity
MH  - Sex Factors
MH  - Time Factors
EDAT- 2002/10/18 04:00
MHDA- 2003/01/25 04:00
CRDT- 2002/10/18 04:00
PHST- 2002/10/18 04:00 [pubmed]
PHST- 2003/01/25 04:00 [medline]
PHST- 2002/10/18 04:00 [entrez]
AID - 13037774 [pii]
AID - 10.1016/s0300-8932(02)76753-5 [doi]
PST - ppublish
SO  - Rev Esp Cardiol. 2002 Oct;55(10):1036-41. doi: 10.1016/s0300-8932(02)76753-5.