A Sign to Heaven: aVR Lead Elevation and Myocardial Infarction. (2011)

• Record Type: Journal Article
• Authors: Nia, Amir M.; Gassanov, Natig; Reuter, Hannes; Er, Fikret
• Other Names: Little Peter Academic Editor.
• Is Part Of: TheScientificWorldjournal. Volume 11(2011)
• Page Start: 662
• Page End: 665
• Publication Date: 2011
• Subjects: aVR lead elevation -- ST-segment elevation in aVR -- left main coronary artery obstruction -- LMCA obstruction -- proximal LAD stenosis; Science -- Periodicals; Technology -- Periodicals; Medicine -- Periodicals; 505
• DOI: 10.1100/tsw.2011.63
• Languages: English
• ISSNs: 2356-6140

Abstract

Abstract : Isolated ST-segment elevation only in the aVR lead, reflecting an acute myocardial infarction due to a left main coronary artery occlusion, was ignored as part of physicians' training in emergency medicine for a long time. The recognition of aVR lead elevation is becoming more accepted as a mandatory diagnostic tool, in particular for physicians working at emergency departments. We report a typical myocardial infarction with total occlusion of the proximal part of the left anterior coronary artery, presenting with ST-segment elevation in the aVR lead, which was misinterpreted as diffuse ischemia. The lacking mandatory awareness of this entity endangered prompt and correct treatment.