Document Detail

The significance of a persistent precordial ST segment greater than or equal to 0.1 mV depression in acute inferior myocardial infarction (coronary angiographic and ventriculographic findings).
MedLine Citation:
PMID:  3946835     Owner:  NLM     Status:  MEDLINE    
40 patients with acute inferior myocardial infarction (MI) associated with persistent precordial ST segment depression greater than or equal to 0.1 mV underwent coronary arteriography and left ventriculography within 5-6 days of their admission. The inferior MI was the result of complete occlusion of the right coronary artery (RCA) in 38 patients and the result of complete occlusion of the posterior descending artery (PDA) coming off the circumflex artery (Cx) in two patients. 36 (90%) of the 40 patients showed one or more severe stenoses in the left anterior descending artery (LAD). 12 of the 36 patients had severe triple vessel disease. The 36 patients whose coronary arteriograms showed significant LAD stenosis had an emergency coronary artery by pass graft (CABG) operation. Soon afterwards the precordial leads were normal and the patients free of angina till their discharge from hospital. We conclude that a persistent precordial ST segment greater than or equal to 0.1 mV depression in acute inferior MI is highly predictive of significant LAD disease.
G Kouvaras; M Spyropoulou; G Bacoulas
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Angiology     Volume:  37     ISSN:  0003-3197     ISO Abbreviation:  Angiology     Publication Date:  1986 Jan 
Date Detail:
Created Date:  1986-03-24     Completed Date:  1986-03-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0203706     Medline TA:  Angiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  57-62     Citation Subset:  IM    
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MeSH Terms
Coronary Angiography*
Coronary Disease / radiography
Heart Ventricles / radiography*
Middle Aged
Myocardial Infarction / physiopathology,  radiography*

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