Does the presence of ST-segment elevation in lead V4R predict major complications and in-hospital mortality in patients with acute inferior myocardial infarctions?
Patients with acute inferior myocardial infarctions
Electrocardiographic assessment of right ventricular infarction (presence of ST-segment elevation in lead V4R)
Major complications and in-hospital mortalityhard clinical
Routine electrocardiographic assessment of lead V4R is crucial in acute inferior myocardial infarction as ST-segment elevation strongly predicts major complications and in-hospital mortality.
Right ventricular involvement during acute inferior myocardial infarction can be accurately diagnosed by the presence of ST-segment elevation in lead V4R, a finding that is a strong, independent predictor of major complications and in-hospital mortality. Electrocardiographic assessment of right ventricular infarction should be routinely performed in all patients with acute inferior myocardial infarctions.
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Manfred Zehender
Electrophysiology
Wolfgang Kasper
Goethe University Frankfurt
Elisabeth Kauder
Krankenhaus vom Roten Kreuz
New England Journal of Medicine
University Medical Center Freiburg
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Zehender et al. (Thu,) studied this question.
synapsesocial.com/papers/69d56e2475589c71d767d430 — DOI: https://doi.org/10.1056/nejm199304083281401