Dilemma of localization of culprit vessel by electrocardiography in acute myocardial infarction.

Indian Heart J

Department of Cardiology, Amala Institute of Medical Sciences, Amala Nagar, Thrissur 680 555, Kerala, India.

Published: September 2016

Acute coronary syndrome (ACS) and electrocardiography showing ST elevation in Lead aVR>V1 are considered specific for left main coronary artery lesion and also suggest extensive anterior wall myocardial infarction. In this backdrop, we are presenting an incidental observation of an association of ST elevation in lead aVR>V1 in isolated proximal left circumflex lesion in the setting of ACS, who later underwent successful primary percutaneous coronary intervention.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5067451PMC
http://dx.doi.org/10.1016/j.ihj.2015.07.053DOI Listing

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