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Sen F, Ozeke O, Kirbas O, et al. Classical electrocardiographic clues for left main coronary artery disease. Indian Heart J. 2016;68:S226-S227doi: 10.1016/j.ihj.2016.03.025.
Sen, F., Ozeke, O., Kirbas, O., Burak, C., Kafes, H., Tekin Tak, B., Ozdamar, U., Ocak, K., Topaloglu, S., & Aras, D. (2016). Classical electrocardiographic clues for left main coronary artery disease. Indian heart journal, 68S226-S227. https://doi.org/10.1016/j.ihj.2016.03.025
Sen, Fatih, et al. "Classical electrocardiographic clues for left main coronary artery disease." Indian heart journal vol. 68 (2016): S226-S227. doi: https://doi.org/10.1016/j.ihj.2016.03.025
Sen F, Ozeke O, Kirbas O, Burak C, Kafes H, Tekin Tak B, Ozdamar U, Ocak K, Topaloglu S, Aras D. Classical electrocardiographic clues for left main coronary artery disease. Indian Heart J. 2016 Sep;68:S226-S227. doi: 10.1016/j.ihj.2016.03.025. Epub 2016 Apr 03. PMID: 27751297; PMCID: PMC5067725.
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Indian Heart J. 2016 Sep;68:S226-S227. doi: 10.1016/j.ihj.2016.03.025. Epub 2016 Apr 03.

Classical electrocardiographic clues for left main coronary artery disease.

Indian heart journal

Fatih Sen, Ozcan Ozeke, Ozgur Kirbas, Cengiz Burak, Habibe Kafes, Bahar Tekin Tak, Umran Ozdamar, Kadir Ocak, Serkan Topaloglu, Dursun Aras

Affiliations

  1. Turkiye Yuksek Ihtisas Training and Research Hospital, Department of Cardiology, Ankara, Turkey.
  2. Turkiye Yuksek Ihtisas Training and Research Hospital, Department of Cardiology, Ankara, Turkey. Electronic address: [email protected].

PMID: 27751297 PMCID: PMC5067725 DOI: 10.1016/j.ihj.2016.03.025

Abstract

Prediction of left main coronary artery (LMCA) or equivalent disease is important with regard to selecting the appropriate treatment strategy. The classical electrocardiographic pattern of LMCA disease includes ST elevation (STE) in lead aVR in the presence of extensive ST depression (most prominent in leads I, II, and V4-6) with the STE in aVR≥V1. Patients with these findings may potentially require early coronary angiography and coronary bypass surgery; therefore selected patients with these findings on exercise testing might benefit from more urgent or expedited angiography.

Copyright © 2016 Cardiological Society of India. Published by Elsevier B.V. All rights reserved.

Keywords: Electrocardiography; Exercise testing; Left main coronary artery stenosis

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