Brief reportsUsefulness of ST elevation II/III ratio and ST deviation in lead I for identifying the culprit artery in inferior wall acute myocardial infarction
References (10)
- et al.
Do patients with left circumflex coronary artery-related acute myocardial infarction without ST-segment elevation benefit from reperfusion therapy?
Am J Cardiol
(1995) - et al.
Electrocardiographic differentiation of occlusion of the left circumflex versus the right coronary artery as a cause of inferior acute myocardial infarction
Am J Cardiol
(1987) - et al.
Electrocardiographic identification of the infarct-related artery in acute inferior myocardial infarction
Int J Cardiol
(1996) - et al.
New electrocardiographic criteria for predicting the site of coronary artery occlusion in inferior wall acute myocardial infarction
Am J Cardiol
(1998) - et al.
A comprehensive analysis of myocardial infarctioncomparison with infarction due to right coronary artery and left anterior descending artery occlusion
J Am Coll Cardiol
(1988)
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2022, Cardiovascular Digital Health JournalElectrocardiographic Distinction of Left Circumflexand Right Coronary Artery Occlusion in PatientsWith Inferior Acute Myocardial Infarction
2019, American Journal of CardiologyNew ST-segment algorithms to determine culprit artery location in acute inferior myocardial infarction
2016, American Journal of Emergency MedicineCitation Excerpt :Rarely, acute inferior myocardial infarction may result from occlusion of the LAD branch [28,29], which is the terminal portion of a “wraparound” LAD, but this was not the case in any of our patients. Among the 274 patients with acute inferior STEMI in the current study, the culprit artery was RCA in 228 patients and LCx in 46 patients, a ratio of 5:1, consistent with previous studies of 2.2:1 to 7.0:1 [12,13,16,26,30]. Inferior myocardial infarction with total occlusion of the proximal RCA often has hemodynamic complications or arrhythmias [3,4], where there is a chance for right ventricular infarction which makes nitroglycerin relatively contraindicated.
Right ventricular echocardiographic parameters for prediction of proximal right coronary artery lesion in patients with inferior wall myocardial infarction
2016, Journal of the Saudi Heart AssociationCitation Excerpt :ECG directs the emergency treatment pathways and helps with predicting the culprit artery. However, the sensitivity for conventional ECG criteria is low for identifying the culprit artery in inferior STEMI [20–24]. Echocardiography has become the mainstay in the evaluation of the RV in daily clinical practice.