Why the study?
Does 18-lead ECG improve the detection of right ventricular and posterior wall involvement compared to standard 12-lead ECG criteria in patients with acute inferior myocardial infarction?
Does 18-lead ECG improve the detection of right ventricular and posterior wall involvement compared to standard 12-lead ECG criteria in patients with acute inferior myocardial infarction?
Routine use of 18-lead ECG in acute inferior myocardial infarction improves the detection of right ventricular and posterior wall involvement, which are often missed by standard 12-lead ECG criteria.
RV/PW involvement in inferior MI was associated with worse prognosis; leaves open whether routine 18-lead ECG improves risk stratification.
We conducted a prospective study on all patients who presented with acute inferior MI and were admitted to our Coronary Care Unit from 1 July 1997 to 31 December 1997. About 70% of patients with acute inferior MI also had involvement of right ventricle or posterior wall or both. The prognosis appeared to be worse if there was RV ± PW involvement. It may be worthwhile to perform 18- lead ECG routinely for patients with acute inferior MI.
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YUE et al. (2022) studied this question.
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