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Nia AM, Gassanov N, Reuter H, et al. A sign to heaven: aVR lead elevation and myocardial infarction. ScientificWorldJournal. 2011;11:662-5doi: 10.1100/tsw.2011.63.
Nia, A. M., Gassanov, N., Reuter, H., & Er, F. (2011). A sign to heaven: aVR lead elevation and myocardial infarction. TheScientificWorldJournal, 11662-5. https://doi.org/10.1100/tsw.2011.63
Nia, Amir M, et al. "A sign to heaven: aVR lead elevation and myocardial infarction." TheScientificWorldJournal vol. 11 (2011): 662-5. doi: https://doi.org/10.1100/tsw.2011.63
Nia AM, Gassanov N, Reuter H, Er F. A sign to heaven: aVR lead elevation and myocardial infarction. ScientificWorldJournal. 2011 Mar 22;11:662-5. doi: 10.1100/tsw.2011.63. PMID: 21442143; PMCID: PMC5720085.
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ScientificWorldJournal. 2011 Mar 22;11:662-5. doi: 10.1100/tsw.2011.63.

A sign to heaven: aVR lead elevation and myocardial infarction.

TheScientificWorldJournal

Amir M Nia, Natig Gassanov, Hannes Reuter, Fikret Er

Affiliations

  1. Department of Internal Medicine III, University of Cologne, Cologne, Germany.

PMID: 21442143 PMCID: PMC5720085 DOI: 10.1100/tsw.2011.63

Abstract

Isolated ST-segment elevation only in the aVR lead, reflecting an acute myocardial infarction due to a left main coronary artery occlusion, was ignored as part of physicians' training in emergency medicine for a long time. The recognition of aVR lead elevation is becoming more accepted as a mandatory diagnostic tool, in particular for physicians working at emergency departments. We report a typical myocardial infarction with total occlusion of the proximal part of the left anterior coronary artery, presenting with ST-segment elevation in the aVR lead, which was misinterpreted as diffuse ischemia. The lacking mandatory awareness of this entity endangered prompt and correct treatment.

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