Usefulness of ST-Segment Elevation in Lead III Exceeding That of Lead II for Identifying the Location of the Totally Occluded Coronary Artery in Inferior Wall Myocardial Infarction

✍ Scribed by Peter J Zimetbaum MD; Subramaniam Krishnan MD; Alexander Gold MD; Joseph P Carrozza II; MD; Mark E Josephson MD

• Book ID: 113979376
• Publisher: Elsevier Science
• Year: 1998
• Tongue: English
• Weight: 58 KB
• Volume: 81
• Category: Article
• ISSN: 0002-9149
• DOI: 10.1016/s0002-9149(98)00013-7

✦ Synopsis

The presence of ST-segment elevation in lead III exceeding that of lead II, particularly if combined with ST elevation in lead V1, proved to be a powerful marker for occlusion of the proximal or midportion of the right coronary artery. These findings helped to determine the extent of myocardium at risk in inferior wall myocardial infarction and may further guide the decision to administer thrombolytics.