SINGLE RIGHT-SIDED PRECORDIAL LEAD IN DIAGNOSIS OF RIGHT VENTRICULAR INVOLVEMENT IN INFERIOR MYOCARDIAL-INFARCTION

SINGLE RIGHT-SIDED PRECORDIAL LEAD IN DIAGNOSIS OF RIGHT VENTRICULAR INVOLVEMENT IN INFERIOR MYOCARDIAL-INFARCTION
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DOI:
10.1016/s0002-8703(76)80141-x
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发表时间:
1976-01-01
影响因子:
4.8
通讯作者:
WAHLBERG, I
WAHLBERG, I
中科院分区:
医学2区
文献类型:
--
作者:
ERHARDT, LR;SJOGREN, A;WAHLBERG, I

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The ST segment in a single right-sided chest lead, CR4R, was studied in 92 consecutive patients with acute inferior transmural left ventricular myocardial infarction. A transient ST-segment rise of more than 1 mm was recorded in 25 patients, and strongly indicated a significant extension of the infarction to the posterior free right ventricular wall according to autopsy findings. This ECG pattern was associated with right-sided heart failure, hypotension and oliguria. Left heart failure was also common. The short-term prognosis of patients with ST-segment elevation in CR4R was poor.