Classical electrocardiographic clues for left main coronary artery disease

Sen, Fatih; ÖZEKE, Özcan; Kirbas, Ozgur; Burak, Cengiz; Kafes, Habibe; TEKİN TAK, Bahar; Ozdamar, Umran; Ocak, Kadir; TOPALOĞLU, Serkan; Aras, Dursun

doi:10.1016/j.ihj.2016.03.025

Classical electrocardiographic clues for left main coronary artery disease

Sen F., ÖZEKE Ö., Kirbas O., Burak C., Kafes H., TEKİN TAK B., ...Daha Fazla

Indian Heart Journal, cilt.68, 2016 (Scopus)

Yayın Türü: Makale / Teknik Not
Cilt numarası: 68
Basım Tarihi: 2016
Doi Numarası: 10.1016/j.ihj.2016.03.025
Dergi Adı: Indian Heart Journal
Derginin Tarandığı İndeksler: Scopus
Anahtar Kelimeler: Electrocardiography, Exercise testing, Left main coronary artery stenosis
Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Prediction of left main coronary artery (LMCA) or equivalent disease is important with regard to selecting the appropriate treatment strategy. The classical electrocardiographic pattern of LMCA disease includes ST elevation (STE) in lead aVR in the presence of extensive ST depression (most prominent in leads I, II, and V4–6) with the STE in aVR ≥ V1. Patients with these findings may potentially require early coronary angiography and coronary bypass surgery; therefore selected patients with these findings on exercise testing might benefit from more urgent or expedited angiography.