Document Detail

Electrocardiographic applications of lead aVR.
MedLine Citation:
PMID:  17098112     Owner:  NLM     Status:  MEDLINE    
Lead aVR, 1 of 12 electrocardiographic leads, is frequently ignored in clinical medicine. In fact, many clinicians refer to the 12-lead electrocardiogram (ECG) as the 11-lead ECG, noting the commonly held belief that lead aVR rarely offers clinically useful information. In this report, we discuss the findings in lead aVR, which are potentially of value, including ST-segment elevation in the patient with acute coronary syndrome suggestive of left main coronary artery occlusion, PR-segment elevation in the patient with acute pericarditis, prominent R wave in the patient with significant tricyclic antidepressant poisoning, and ST-segment elevation in narrow complex tachycardia suggestive of Wolff-Parkinson-White syndrome.
Kelly Williamson; Amal Mattu; Claire U Plautz; Allan Binder; William J Brady
Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  The American journal of emergency medicine     Volume:  24     ISSN:  0735-6757     ISO Abbreviation:  Am J Emerg Med     Publication Date:  2006 Nov 
Date Detail:
Created Date:  2006-11-13     Completed Date:  2007-01-09     Revised Date:  2008-02-28    
Medline Journal Info:
Nlm Unique ID:  8309942     Medline TA:  Am J Emerg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  864-74     Citation Subset:  IM    
School of Medicine, University of Virginia, Charlottesville, VA, USA.
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MeSH Terms
Antidepressive Agents, Tricyclic / poisoning*
Coronary Thrombosis / physiopathology*
Pericarditis / physiopathology*
Wolff-Parkinson-White Syndrome / physiopathology*
Reg. No./Substance:
0/Antidepressive Agents, Tricyclic
Comment In:
Am J Emerg Med. 2007 Sep;25(7):852-5   [PMID:  17870500 ]
Am J Emerg Med. 2008 Feb;26(2):242-3   [PMID:  18272115 ]

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

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