PMID- 29348386 OWN - NLM STAT- MEDLINE DCOM- 20180806 LR - 20180806 IS - 0125-9326 (Print) IS - 0125-9326 (Linking) VI - 49 IP - 4 DP - 2017 Oct TI - ST Elevation in Lead aVR and Its Association with Clinical Outcomes. PG - 347-350 AB - The purpose of this case repots are to evaluate the role of ST elevation in aVR lead and to make analysis between both cases. There are some atypical electrocardiogram (ECG) presentations which need prompt management in patient with ischemic clinical manifestation such as ST elevation in aVR lead. In this case study, we report a 68-year old woman with chief symptoms of shortness of breath and chest discomfort. She was diagnosed with cardiogenic shock, with Killip class IV, and TIMI score of 8. The second case is a 57-year-old man with typical chest pain at rest which could not be relieved with nitrate treatment. He was diagnosed with ST elevation in inferior and aVR lead, and occlusion in left circumflex artery (LCX). Both patients underwent primary percutaneous coronary intervention (PPCI). Subsequently, both cases presented remarkable clinical improvements and improved ST elevation myocardial infarction (STEMI) in aVR lead. FAU - Ginanjar, Eka AU - Ginanjar E AD - Department of Internal Medicine, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo, Jakarta, Indonesia.. ekginanjar@gmail.com. FAU - Yulianto, Yulianto AU - Yulianto Y LA - eng PT - Case Reports PT - Journal Article PL - Indonesia TA - Acta Med Indones JT - Acta medica Indonesiana JID - 7901042 SB - IM MH - Aged MH - Chest Pain/etiology MH - Coronary Angiography MH - Coronary Vessels/*diagnostic imaging/surgery MH - Electrocardiography MH - Female MH - Humans MH - Male MH - Percutaneous Coronary Intervention MH - ST Elevation Myocardial Infarction/*diagnostic imaging/*physiopathology/surgery MH - Shock, Cardiogenic/*diagnostic imaging/*physiopathology/surgery OTO - NOTNLM OT - Occlusion coronary artery OT - PPCI OT - ST elevation OT - aVR EDAT- 2018/01/20 06:00 MHDA- 2018/08/07 06:00 CRDT- 2018/01/20 06:00 PHST- 2018/01/20 06:00 [entrez] PHST- 2018/01/20 06:00 [pubmed] PHST- 2018/08/07 06:00 [medline] PST - ppublish SO - Acta Med Indones. 2017 Oct;49(4):347-350.