PMID- 422912
OWN - NLM
STAT- MEDLINE
DCOM- 19790516
LR  - 20190902
IS  - 0022-0736 (Print)
IS  - 0022-0736 (Linking)
VI  - 12
IP  - 1
DP  - 1979 Jan
TI  - Electrocardiographic poor R wave progression. II: correlation with angiography.
PG  - 11-5
AB  - Forty patients with "poor R wave progression" (PRWP) or "reversed R wave 
      progression" (RRWP) on the electrocardiogram (ECG) who underwent coronary 
      arteriography and left ventriculography within one month of electrocardiographic 
      recording were analyzed. Patients were randomly selected from a population of 
      catheterization proven predominant mitral stenosis with elevated right 
      ventricular pressures (presumed right ventricular hypertrophy), predominant 
      aortic stenosis with increased left ventricular mass (left ventricular 
      hypertrophy) and anterior myocardial infarction (AMI). Application of criteria 
      previously derived from vectorcardiographic (VCG) correlative data, as well as 
      inclusion of right precordial lead repolarization abnormalities, correctly 
      diagnosed 85% (11/13) of angiographic AMIs. It is clinically useful to note that 
      56% (15/27) of patients with either PRWP or RRWP who did not exhibit angiographic 
      AMI could be identified by 12 lead ECG with only 12% (2/17) false negative AMIs. 
      In comparison with Q wave anterior myocardial infarctions, those with only PRWP 
      or RRWP exhibited a trend toward a less severe degree of contraction abnormality 
      on contrast ventriculography.
FAU - Zema, M J
AU  - Zema MJ
FAU - Kligfield, P
AU  - Kligfield P
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Electrocardiol
JT  - Journal of electrocardiology
JID - 0153605
SB  - IM
MH  - Adult
MH  - Aortic Valve Stenosis/complications
MH  - *Coronary Angiography
MH  - *Electrocardiography
MH  - False Negative Reactions
MH  - Heart Ventricles/diagnostic imaging
MH  - Humans
MH  - Mitral Valve Stenosis/complications
MH  - Myocardial Infarction/complications/*diagnosis
MH  - *Vectorcardiography
EDAT- 1979/01/01 00:00
MHDA- 1979/01/01 00:01
CRDT- 1979/01/01 00:00
PHST- 1979/01/01 00:00 [pubmed]
PHST- 1979/01/01 00:01 [medline]
PHST- 1979/01/01 00:00 [entrez]
AID - 10.1016/s0022-0736(79)80039-4 [doi]
PST - ppublish
SO  - J Electrocardiol. 1979 Jan;12(1):11-5. doi: 10.1016/s0022-0736(79)80039-4.