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January 1, 1993European Heart Journal

ST segment depression in aVL was present in 104 of 107 patients with evolving acute inferior myocardial infarction and was the sole early electrocardiographic sign in 7.5% of cases.

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Why the study?

Is ST segment depression in lead aVL a sensitive marker for acute inferior myocardial infarction?

Population

107 consecutive patients with evolving first acute inferior myocardial infarction

Design

Cross-sectional

Key result

ST segment depression in aVL was present in 104 of 107 patients with evolving acute inferior myocardial infarction and was the sole early electrocardiographic sign in 7.5% of cases.

Authors

YBYochai BirnbaumSSSamuel SclarovskyAMAviv Mager

Discussion

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Member takes

Overview

May aid early ECG recognition of inferior MI; supports further prospective validation before changing practice.

Study Design

Type

Observational (n=107)

Structured PICO

Is ST segment depression in lead aVL a sensitive marker for acute inferior myocardial infarction?

P
Population
107 consecutive patients with evolving first acute inferior myocardial infarction evaluated for admission electrocardiographic changes.
E
Exposure
Evaluation of admission electrocardiograms for ST segment depression in lead aVL
O
Outcome
Prevalence of reciprocal ST depression in aVLsurrogate

ST segment depression in lead aVL is a highly sensitive and sometimes the only early electrocardiographic marker for acute inferior myocardial infarction.

Cite This Study

Birnbaum et al. (1993) conducted an observational in Acute inferior myocardial infarction (n=107). ST segment depression in aVL was evaluated on Prevalence of reciprocal ST depression in aVL. ST segment depression in aVL was present in 104 of 107 patients with evolving acute inferior myocardial infarction and was the sole early electrocardiographic sign in 7.5% of cases.

synapsesocial.com/papers/6a21ba8329a2272c3e11a531https://doi.org/10.1093/eurheartj/14.1.4
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