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Use of the 24-lead "standard" electrocardiogram to identify the site of acute coronary occlusion

Wagner, Galen S; Pahlm, Ulrika LU and Pahlm, Olle LU (2008) In Journal of Electrocardiology 41(3). p.238-244
Abstract
This review presents the added value for diagnosis of acute ischemia/infarction of considering ST elevation in the 12 inverted leads (-I, -II, -II, -aVR, etc) of the standard electrocardiogram in addition to ST elevation in 12 positive leads. A small number of studies have been published showing substantial increases in sensitivity at the "cost of' slight decreases in specificity. One recent study indicated that only 7 of the inverted leads should be considered, yielding a "19-lead electrocardiogram" encompassing the following leads (presented here in the logical secquences): -III, aVL, I, -aVR, II, aVF, III, -aVL, -I, aVR; and V1, V2, V3, V4, V5, V6, -V1, -V2, -V3. Studies have to be performed to establish the thresholds that should be... (More)
This review presents the added value for diagnosis of acute ischemia/infarction of considering ST elevation in the 12 inverted leads (-I, -II, -II, -aVR, etc) of the standard electrocardiogram in addition to ST elevation in 12 positive leads. A small number of studies have been published showing substantial increases in sensitivity at the "cost of' slight decreases in specificity. One recent study indicated that only 7 of the inverted leads should be considered, yielding a "19-lead electrocardiogram" encompassing the following leads (presented here in the logical secquences): -III, aVL, I, -aVR, II, aVF, III, -aVL, -I, aVR; and V1, V2, V3, V4, V5, V6, -V1, -V2, -V3. Studies have to be performed to establish the thresholds that should be applied to these leads for achievement of sensitivity/specificity. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
myocardial ischema, electrocardiogram, coronary occlusion
in
Journal of Electrocardiology
volume
41
issue
3
pages
238 - 244
publisher
Elsevier
external identifiers
  • wos:000255544400018
  • scopus:42149179324
ISSN
1532-8430
DOI
10.1016/j.jelectrocard.2008.02.002
language
English
LU publication?
yes
id
9d6590ca-060d-46ec-8241-0b3bde4659f9 (old id 1204654)
date added to LUP
2008-09-17 14:54:08
date last changed
2017-01-15 03:33:45
@article{9d6590ca-060d-46ec-8241-0b3bde4659f9,
  abstract     = {This review presents the added value for diagnosis of acute ischemia/infarction of considering ST elevation in the 12 inverted leads (-I, -II, -II, -aVR, etc) of the standard electrocardiogram in addition to ST elevation in 12 positive leads. A small number of studies have been published showing substantial increases in sensitivity at the "cost of' slight decreases in specificity. One recent study indicated that only 7 of the inverted leads should be considered, yielding a "19-lead electrocardiogram" encompassing the following leads (presented here in the logical secquences): -III, aVL, I, -aVR, II, aVF, III, -aVL, -I, aVR; and V1, V2, V3, V4, V5, V6, -V1, -V2, -V3. Studies have to be performed to establish the thresholds that should be applied to these leads for achievement of sensitivity/specificity.},
  author       = {Wagner, Galen S and Pahlm, Ulrika and Pahlm, Olle},
  issn         = {1532-8430},
  keyword      = {myocardial ischema,electrocardiogram,coronary occlusion},
  language     = {eng},
  number       = {3},
  pages        = {238--244},
  publisher    = {Elsevier},
  series       = {Journal of Electrocardiology},
  title        = {Use of the 24-lead "standard" electrocardiogram to identify the site of acute coronary occlusion},
  url          = {http://dx.doi.org/10.1016/j.jelectrocard.2008.02.002},
  volume       = {41},
  year         = {2008},
}