results prediction of the rca as culprit lesion using tierala's algorithm was 86% sensitive and 50% specific. prediction of lcx occlusion based on st-elevation ≥ 1 mm in v6 was 87% specific (p = 0.005). sum of st elevation in leads v5 and v6 more than 2.5 mm, was a good marker of lcx prediction (p = 0.044). st-elevation in v4r was 48% sensitive and 89% specific for rca prediction (p = 0.004). w...

AIMS The optimum definition of ST elevation for diagnosis of acute myocardial infarction, with respect to both the minimum height and the minimum numbers of leads, is unknown. Furthermore, only 50% of patients with acute myocardial infarction present with ST elevation. We thus quantified the sensitivity and specificity of different ST elevation criteria for diagnosis of acute myocardial infarct...

BACKGROUND Lead V(1) directly faces the right ventricle and may exhibit ST elevation during an acute inferior myocardial infarction when the right ventricle is also involved. Leads V(1) and V(3) indirectly face the posterolateral left ventricle, and ST depression ("mirror-image" ST elevation) in V(1) through V(3) may reflect concomitant posterolateral infarction. The prognostic significance of ...

Exercise-induced ST-segment elevation was correlated with myocardial perfusion abnormalities and coronary artery obstruction in 35 patients. Ten patients (group 1) developed exercise ST elevation in leads without Q waves on the resting ECG. The site of ST elevation corresponded to both a reversible perfusion defect and a severely obstructed coronary artery. Associated ST-segment depression in o...

AIMS The association between stress-induced ST elevation and functional recovery following revascularization after myocardial infarction remains unclear. We assessed the relative accuracy of dobutamine- and exercise-induced ST elevation in Q wave leads in predicting functional recovery following revascularization, and we investigated the relationship of ST elevation to different wall motion res...

OBJECTIVE The magnitude of ST elevation is a key piece of information in the decision to thrombolyse in acute myocardial infarction. The ability of clinicians to reliably identify ST elevation has not been previously assessed. This study sought to determine the variability in assessment of ST elevation in a group of doctors who commonly prescribe thrombolysis. METHODS The study was conducted ...

tion on the damaged area of the heart surface , we noted the following results'). Immediately after injury, the ST-elevation was, of course, recorded in the direct unipolar electrocardiogram taken from the injured heart surface . This elevation of the ST-segment was not eliminated even when potassium-free solution was poured on the injured region. As time passed, however, it did not make the ST...

background :in addition to diagnosing the acute myocardial infarction (mi), stratifying high-risk patients and proper treatment strategies are important issues in managing patients complaining of chest pain and suspecting mi. many studies have been conducted to predict the occlusion site by interpreting the st segment deviations in electrocardiogram (ecg).additional posterior and right precordi...

The presence of electrocardiographic ST depression in acute infarction remains controversial and poorly explained. A combined animal and modeling study was performed to evaluate the source of ST changes in acute infarction. In anaesthetized sheep, small infarcts showed uniform ST elevation over the infarction whereas larger infarcts showed marked ST depression over the normal myocardium in addi...

BACKGROUND Exacerbation of ST elevation associated with reperfusion has been reported in patients with myocardial infarction. However, the cause of the "reperfusion peak" and relation of its magnitude to the size of myocardial damage has not been explored. The aim of our study was to assess the correlation between the ST-dynamics during reperfusion, the myocardium at risk (MaR), and the infarct...