Document Detail


An ECG marker of underlying right ventricular conduction delay in the hyperacute phase of right ventricular infarction or ischemia.
MedLine Citation:
PMID:  2254708     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Patients with extensive right ventricular (RV) infarction or ischemia often have an accompanying RV conduction delay. Such patients frequently show precordial ST-T wave elevation, which hides the late r' wave in lead V1, making it difficult to recognize the RV conduction delay during the hyperacute phase. We noted that such patients occasionally exhibited a "cove"-shaped ST-T elevation in lead V1, which strongly suggested the presence of this complication even in the hyperacute stage. This report describes three instances of RV infarction or ischemia with this characteristic electrocardiographic sign. This sign appears to be a marker of RV conduction delay during the hyperacute stage of RV infarction or ischemia.
Authors:
H Kataoka; K Kanzaki; Y Mikuriya
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of electrocardiology     Volume:  23     ISSN:  0022-0736     ISO Abbreviation:  J Electrocardiol     Publication Date:  1990 Oct 
Date Detail:
Created Date:  1991-01-24     Completed Date:  1991-01-24     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0153605     Medline TA:  J Electrocardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  369-74     Citation Subset:  IM    
Affiliation:
Second Department of Internal Medicine, Oita Medical College, Japan.
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MeSH Terms
Descriptor/Qualifier:
Aged
Coronary Disease / diagnosis*
Electrocardiography*
Heart Conduction System / physiopathology
Humans
Male
Middle Aged
Myocardial Infarction / diagnosis*
Ventricular Function, Right / physiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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