دورية أكاديمية
Diagnostic value of standard electrocardiogram in acute right ventricular myocardial infarction.
| العنوان: | Diagnostic value of standard electrocardiogram in acute right ventricular myocardial infarction. |
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| المؤلفون: | Taherinia A; Department of Emergency Medicine, Alborz University of Medical Sciences, Karaj, Iran., Ahmadi K; Department of Emergency Medicine, Alborz University of Medical Sciences, Karaj, Iran., Bahramian M; Department of Emergency Medicine, Alborz University of Medical Sciences, Karaj, Iran., Khademhosseini P; Department of Emergency Medicine, Alborz University of Medical Sciences, Karaj, Iran., Taleshi Z; Department of Emergency Medicine, Alborz University of Medical Sciences, Karaj, Iran., Maghsoudi M; Department of Emergency Medicine, Alborz University of Medical Sciences, Karaj, Iran., Badkoubeh RS; Department of Cardiology, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran., Talebian MT; Department of Emergency Medicine, Tehran University of Medical Sciences, Tehran, Iran., Rezaee M; Department of Emergency Medicine, Alborz University of Medical Sciences, Karaj, Iran. |
| المصدر: | European journal of translational myology [Eur J Transl Myol] 2019 May 22; Vol. 29 (2), pp. 8184. Date of Electronic Publication: 2019 May 22 (Print Publication: 2019). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: PagePress Country of Publication: Italy NLM ID: 101576208 Publication Model: eCollection Cited Medium: Print ISSN: 2037-7452 (Print) Linking ISSN: 20377452 NLM ISO Abbreviation: Eur J Transl Myol Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Publication: <2014- > : Pavia : PagePress Original Publication: Padova : Unipress |
| مستخلص: | Myocardial infarction (MI) (i.e., heart attack) is the irreversible death (necrosis) of heart muscle secondary to prolonged lack of oxygen supply (ischemia) which accounts for a large number of deaths in the hospital. Diagnosis of myocardial infarction is confirmed based on clinical manifestations and electrocardiographic changes along with increased cardiac enzymes. Electrocardiogram (ECG) is one of the safest and easiest methods in the first place. Therefore, this study aimed to investigate the diagnostic value of standard electrocardiogram in the diagnosis of acute right ventricular infarction following lower cardiac infarction. This research was carried out at a time interval of one and a half years to diagnose acute primary infarction. In this method, the diagnostic value of ST↓ in lead I, ST↓ in lead aVL and I ST↓ + aVL, compared with ST↑ in lead V4R was investigated for diagnosis of right ventricular infarction. ST↑ in the lead V4R is a gold standard for the detection of right ventricular MI. All the patients who had the inclusion criteria were allowed to participate in the study. A total of 66 patients participated in the study. Accordingly, 58 (87%) were male and 8 (13%) were female. The mean age of the population was 54.9 ± 11.41. According to the ST↑ standard in lead V4R, 26 patients (39%) had right ventricular myocardial infarction. There was no significant relationship between angina pectoris and premature infarction (P-Value = 0.869). In this study, the right ventricular was most commonly involved in right coronary artery (78%). There was no significant relationship between the occlusion of right coronary artery and right ventricular infarction in 60 patients (P-Value = 0.94). The results showed that electrocardiogram manifestations help determine the occlusion site and the area at risk (ST↓ in lead aVL and aVL + I, sensitivity = 96%). In myocardial infarction, symptoms such as the ST-Segment elevation in lead aVR and ST-Segment depression in the lower leads are possible. Accordingly, in the lower infarction, ST changes in the leads V1-V6 are helpful in detecting patients at risk. Thus, the use of electrocardiogram in acute myocardial infarction helps detect more invasive patients and prevents extensive myocardial damage and other complications. Competing Interests: Conflict of Interest: The authors declare they have no conflicts of interest.We confirm that we have read the Journal’s position on issues involved in ethical publication and affirm that this report is consistent with those guidelines. |
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| فهرسة مساهمة: | Keywords: Electrocardiogram; myocardial infarction; right ventricle |
| تواريخ الأحداث: | Date Created: 20190730 Latest Revision: 20231012 |
| رمز التحديث: | 20231012 |
| مُعرف محوري في PubMed: | PMC6615066 |
| DOI: | 10.4081/ejtm.2019.8184 |
| PMID: | 31354922 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2037-7452 |
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| DOI: | 10.4081/ejtm.2019.8184 |