ISSN 2149-2263 | E-ISSN 2149-2271 Home      
 
Volume : 23 Issue : 1
Current Issue Archive Popular Article Ahead of Print

   
Quick Search





 
uggestion of Infarct-Related Artery by Way of The Initial Electrocardiography in Patients With Acute Inferior Wall Myocardial Infarction [Anatol J Cardiol]
Anatol J Cardiol. 2001; 1(3): 148-152

uggestion of Infarct-Related Artery by Way of The Initial Electrocardiography in Patients With Acute Inferior Wall Myocardial Infarction

B.Yılmaz Cingözbay1, Namık Özmen2, Cihan Top3, Melih Hulusi Us4, Bekir Sıtkı Cebeci2, Ergün Demiralp6
1GATA Haydarpşa Eğitim Hastanesi Kardiyoloji Servisi, İstanbul
2Department of Cardiology, GATA Haydarpaşa Education Hospital, Kadıköy, İstanbul, Turkey
3GATA Haydarpşa Eğitim Hastanesi İç Hastalıkları Servisi, İstanbul
4GATA Haydarpşa Eğitim Hastanesi Kalp ve Damar Cerrahisi Servisi, İstanbul
5Department of Cardiology, GATA Haydarpaşa Education Hospital, Kadıköy, İstanbul, Turkey
6Gülhane Askeri Tıp Akademisi, Haydarpaşa Eğitim Hastanesi, Kardiyoloji Servisi, İstanbul

Objective: The aim of the study was to determine IRA (infarct-related artery) by analysis of the initial ECG (electrocardiogram) in patients with acute inferior wall myocardial infarction. Methods: Fourty patients (36 male, 4 female) admitted to coronary care unit with the diagnosis of acute inferior wall myocardial infarction were included in the study. The mean age of patients was 62.2 year (29-85 years). The coronary angiography was performed in all patients at the first week of admission. To determine the relationship between IRA and R/S ratio, ST segment depression in lead aVL, statistical analysis was performed. Results: IRA was the right coronary artery (RCA) in 20 cases, circumflex artery (Cx) in 15 cases, RCA+Cx in 5 cases. R/S ratio was bigger than one in patients with Cx lesion and R/S ratio was smaller than one in patients with RCA lesion. The degree of the ST segment depression was equal or smaller than 2 mm in patients with Cx lesion and greater than 2 mm in patients with RCA lesion (p<0.05). There was no correlation between IRA and precordial reciprocal electrocardiographic changes. Diagnosis of right ventricular infarction was established in 75% of patients with RCA lesion, 26% of patients with Cx lesion and 100% of patients with RCA+Cx lesions. Conclusion: We concluded that it was possible to predict IRA after examining the initial ECG changes such as R/S ratio, ST segment depression. This prediction can shorten the time required to perform primary percutaneous transluminal coronary angioplasty. Non-invasive prediction of IRA was useful for suggestion of clinical course in patients with high complication risk, such as patients with RCA lesion

Keywords: Akut inferior miyokard infarktüsü, infarktan sorumlu arter, elektrokardiyografik değişiklikler


B.Yılmaz Cingözbay, Namık Özmen, Cihan Top, Melih Hulusi Us, Bekir Sıtkı Cebeci, Ergün Demiralp. uggestion of Infarct-Related Artery by Way of The Initial Electrocardiography in Patients With Acute Inferior Wall Myocardial Infarction. Anatol J Cardiol. 2001; 1(3): 148-152


TOOLS
Full Text PDF
Print
Download citation
RIS
EndNote
BibTex
Medlars
Procite
Reference Manager
Share with email
Share


Similar articles
PubMed
Google Scholar




 
 
KARE Publishing | Copyright © 2018 Turkish Society of Cardiology