PMID- 27586500
OWN - NLM
STAT- MEDLINE
DCOM- 20171129
LR  - 20180524
IS  - 1532-8430 (Electronic)
IS  - 0022-0736 (Linking)
VI  - 49
IP  - 6
DP  - 2016 Nov-Dec
TI  - Association of the right ventricle impairment with electrocardiographic 
      localization and related artery in patients with ST-elevation myocardial 
      infarction.
PG  - 907-910
LID - S0022-0736(16)30156-X [pii]
LID - 10.1016/j.jelectrocard.2016.08.001 [doi]
AB  - INTRODUCTION: The right ventricular myocardial infarction (RVMI) has 
      traditionally been mainly related to inferior wall ST elevation myocardial 
      infarction (STEMI). This study assessed the RVMI electrocardiographic (ECG-RVMI) 
      signs in relationship to ECG-based STEMI localization and to the infarct related 
      artery in patients treated with primary percutaneous coronary intervention 
      (pPCI). METHODS: Three hundred consecutive adult patients (107 females) were 
      referred to catheterization laboratory with the acute STEMI diagnosis. In all 
      patients, both the standard 12-lead ECGs and the right-sided precordial leads 
      (V1R-V6R) were recorded. ECG-RVMI was diagnosed by ST segment elevation above 
      100muV in V4R. RESULTS: ECG signs of RVMI were found in 35 and 31 (23.8% for both) 
      patients with inferior and anterior wall STEMI, respectively. In 32 ECG-RVMI 
      patients, the right coronary artery (RCA) was occluded while in 34 patients, the 
      occlusions were in the left anterior descending (LAD) or the left circumflex 
      artery. No statistically significant differences were found in ECG-RVMI patients 
      when comparing clinical variables between those with anterior and inferior wall 
      STEMI. CONCLUSIONS: ECG signs of RVMI during acute STEMI are not uncommon. RCA 
      was the infarction-related artery in only one half of these patients. Anterior 
      wall STEMI and the LAD were associated with a significant proportion of ECG-RVMI 
      cases.
CI  - Copyright (c) 2016. Published by Elsevier Inc.
FAU - Kanovsky, Jan
AU  - Kanovsky J
AD  - Department of Internal Medicine and Cardiology, University Hospital Brno and 
      Faculty of Medicine of Masaryk University, Brno, Czech Republic.
FAU - Kala, Petr
AU  - Kala P
AD  - Department of Internal Medicine and Cardiology, University Hospital Brno and 
      Faculty of Medicine of Masaryk University, Brno, Czech Republic. Electronic 
      address: kalapetr7@gmail.com.
FAU - Novotny, Tomas
AU  - Novotny T
AD  - Department of Internal Medicine and Cardiology, University Hospital Brno and 
      Faculty of Medicine of Masaryk University, Brno, Czech Republic.
FAU - Benesova, Klara
AU  - Benesova K
AD  - Institute of Biostatistics and Analyses, Faculty of Medicine of Masaryk 
      University, Brno, Czech Republic.
FAU - Holicka, Maria
AU  - Holicka M
AD  - Department of Internal Medicine and Cardiology, University Hospital Brno and 
      Faculty of Medicine of Masaryk University, Brno, Czech Republic.
FAU - Jarkovsky, Jiri
AU  - Jarkovsky J
AD  - Institute of Biostatistics and Analyses, Faculty of Medicine of Masaryk 
      University, Brno, Czech Republic.
FAU - Koc, Lumir
AU  - Koc L
AD  - Department of Internal Medicine and Cardiology, University Hospital Brno and 
      Faculty of Medicine of Masaryk University, Brno, Czech Republic.
FAU - Mikolaskova, Monika
AU  - Mikolaskova M
AD  - Department of Internal Medicine and Cardiology, University Hospital Brno and 
      Faculty of Medicine of Masaryk University, Brno, Czech Republic.
FAU - Ondrus, Tomas
AU  - Ondrus T
AD  - Department of Internal Medicine and Cardiology, University Hospital Brno and 
      Faculty of Medicine of Masaryk University, Brno, Czech Republic.
FAU - Malik, Marek
AU  - Malik M
AD  - National Heart and Lung Institute, Imperial College, London, United Kingdom.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20160805
PL  - United States
TA  - J Electrocardiol
JT  - Journal of electrocardiology
JID - 0153605
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Causality
MH  - Comorbidity
MH  - Coronary Artery Disease/*diagnosis/*epidemiology
MH  - Czech Republic/epidemiology
MH  - Diagnosis, Computer-Assisted/methods
MH  - Electrocardiography/*methods/statistics & numerical data
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Reproducibility of Results
MH  - Risk Factors
MH  - ST Elevation Myocardial Infarction/*diagnosis/*epidemiology
MH  - Sensitivity and Specificity
MH  - Ventricular Dysfunction, Right/*diagnosis/*epidemiology
OTO - NOTNLM
OT  - Infarction related artery
OT  - Primary percutaneous coronary intervention
OT  - Right ventricle infarction
OT  - ST elevation myocardial infarction
EDAT- 2016/09/03 06:00
MHDA- 2017/12/01 06:00
CRDT- 2016/09/03 06:00
PHST- 2016/05/30 00:00 [received]
PHST- 2016/09/03 06:00 [pubmed]
PHST- 2017/12/01 06:00 [medline]
PHST- 2016/09/03 06:00 [entrez]
AID - S0022-0736(16)30156-X [pii]
AID - 10.1016/j.jelectrocard.2016.08.001 [doi]
PST - ppublish
SO  - J Electrocardiol. 2016 Nov-Dec;49(6):907-910. doi: 
      10.1016/j.jelectrocard.2016.08.001. Epub 2016 Aug 5.