August 25, 2009

Distinguishing the right coronary artery from the left circumflex coronary artery as the infarct-related artery in patients undergoing primary percutaneous coronary intervention for acute inferior myocardial infarction

Structured PICO

Does the conventional ECG algorithm accurately diagnose RCA occlusion in patients with acute inferior STEMI undergoing primary PCI?

Population

All-comer patients with acute inferior ST-segment elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention (PCI)

Intervention

Conventional ECG algorithm for non-invasive diagnosis of right coronary artery (RCA) occlusion

Outcome

Sensitivity for the non-invasive diagnosis of RCA occlusionsurrogate

The conventional ECG algorithm has low sensitivity for identifying the RCA as the infarct-related artery in inferior STEMI, except when extensive ST-segment deviation is present.

Abstract

The conventional ECG algorithm showed a low sensitivity for the non-invasive diagnosis of RCA occlusion in an all-comer, inferior STEMI cohort undergoing primary PCI. Sensitivity was only sufficient in patients with extensive ST-segment deviation.

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Cite This Study

Verouden et al. (Tue,) studied this question.

synapsesocial.com/papers/69d750d1aa68b335b4f30ed9 https://doi.org/https://doi.org/10.1093/europace/eup234

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