This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Kouvaras, G. Articles by Bacoulas, G. Search for Related Content PubMed PubMed Citation Articles by Kouvaras, G. Articles by Bacoulas, G. Pubmed/NCBI databases Medline Plus Health Information Heart Attack Social Bookmarking                   What's this?

The Significance of a Persistent Precordial ST Segment 0.1 mV Depression in Acute Inferior Myocardial Infarction (Coronary Angiographic and Ventriculographic Findings)

Cardiology Department of Public Hospital of Athens, Athens, Greece

Mary Spyropoulou, M.D.

Cardiology Department of Public Hospital of Athens, Athens, Greece

George Bacoulas, M.D.

Cardiology Department of Public Hospital of Athens, Athens, Greece

40 patients with acute inferior myocardial infarction (MI) associated with persistent precordial ST segment depression 0.1 mV underwent coronary arteriography and left ventriculography within 5-6 days of their admission. The inferior MI was the result of complete occlusion of the right coronary artery (RCA) in 38 patients and the result of complete occlusion of the posterior descending artery (PDA) coming off the cicrumflex artery (Cx) in two patients. 36 (90%) of the 40 patients showed one or more severe stenoses in the left anterior descending artery (LAD). 12 of the 36 patients had severe triple vessel disease. The 36 patients whose coronary arteriograms showed significant LAD stenosis had an emergency coronary artery by pass graft (CABG) operation. Soon afterwards the precordial leads were normal and the patients free of angina till their discharge from hospital.

We conclude that a persistent precordial ST segment 0.1 mV depression in acute inferior MI is highly predictive of significant LAD disease.

Angiology, Vol. 37, No. 1, 57-62 (1986)
DOI: 10.1177/000331978603700109


CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this?

This article has been cited by other articles:

				M. C. Borgia, F. Gori, A. Pellicelli, D. Curcio, M. Lionetti, P. A. Buccarella, and M. Lucidi Influence of Thrombolytic Therapy on Inferior Acute Myocardial Infarction with Concomitant Anterior ST Segment Depression Angiology, August 1, 1999; 50(8): 619 - 628. [Abstract] [PDF]