Vectorcardiogram more sensitive than 12‐lead ECG in the detection of inferior myocardial infarction
(1990) In Clinical Physiology 10(6). p.551-559- Abstract
Summary. The vectorcardiogram (VCG) is commonly stated to be more sensitive than the 12‐lead electrocardiogram (ECG) for the diagnosis of inferior myocardial infarction. However, a recent study indicated that VCG is not superior to ECG for this diagnosis. The purpose of this study was to compare the performance of VCG and ECG criteria and to indicate possible explanations for the disagreement between earlier studies. Accordingly, we studied 65 patients with inferior myocardial infarction verified by left ventriculography or 201‐TI myocardial scintigraphy and 351 normal subjects. Sensitivity was 69% (45/65) and 43% (28/65) for the VCG and ECG criteria, respectively. This difference was highly significant (P<0·001). Among the normal... (More)
Summary. The vectorcardiogram (VCG) is commonly stated to be more sensitive than the 12‐lead electrocardiogram (ECG) for the diagnosis of inferior myocardial infarction. However, a recent study indicated that VCG is not superior to ECG for this diagnosis. The purpose of this study was to compare the performance of VCG and ECG criteria and to indicate possible explanations for the disagreement between earlier studies. Accordingly, we studied 65 patients with inferior myocardial infarction verified by left ventriculography or 201‐TI myocardial scintigraphy and 351 normal subjects. Sensitivity was 69% (45/65) and 43% (28/65) for the VCG and ECG criteria, respectively. This difference was highly significant (P<0·001). Among the normal subjects there were only three with false positive VCG and none with false positive ECG. We conclude that both VCG and ECG criteria for the diagnosis of inferior myocardial infarction are highly specific and that VCG criteria have greater sensitivity than ECG criteria.
(Less)
- author
- Edenbrand, L. ; Pahlm, O. LU ; Lyttkens, K. LU and Albrechtsson, U. LU
- organization
- publishing date
- 1990-01-01
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- computer‐assisted diagnosis, electrocardiography, heart disease, reference values, vectorcardiography
- in
- Clinical Physiology
- volume
- 10
- issue
- 6
- pages
- 9 pages
- publisher
- John Wiley & Sons Inc.
- external identifiers
-
- pmid:2083483
- scopus:0025053277
- ISSN
- 0144-5979
- DOI
- 10.1111/j.1475-097X.1990.tb00447.x
- language
- English
- LU publication?
- yes
- id
- 6a4a3c35-f2bb-4ad0-92c2-9d7a05f4423c
- date added to LUP
- 2019-05-28 22:25:28
- date last changed
- 2024-01-16 01:10:48
@article{6a4a3c35-f2bb-4ad0-92c2-9d7a05f4423c, abstract = {{<p>Summary. The vectorcardiogram (VCG) is commonly stated to be more sensitive than the 12‐lead electrocardiogram (ECG) for the diagnosis of inferior myocardial infarction. However, a recent study indicated that VCG is not superior to ECG for this diagnosis. The purpose of this study was to compare the performance of VCG and ECG criteria and to indicate possible explanations for the disagreement between earlier studies. Accordingly, we studied 65 patients with inferior myocardial infarction verified by left ventriculography or 201‐TI myocardial scintigraphy and 351 normal subjects. Sensitivity was 69% (45/65) and 43% (28/65) for the VCG and ECG criteria, respectively. This difference was highly significant (P<0·001). Among the normal subjects there were only three with false positive VCG and none with false positive ECG. We conclude that both VCG and ECG criteria for the diagnosis of inferior myocardial infarction are highly specific and that VCG criteria have greater sensitivity than ECG criteria.</p>}}, author = {{Edenbrand, L. and Pahlm, O. and Lyttkens, K. and Albrechtsson, U.}}, issn = {{0144-5979}}, keywords = {{computer‐assisted diagnosis; electrocardiography; heart disease; reference values; vectorcardiography}}, language = {{eng}}, month = {{01}}, number = {{6}}, pages = {{551--559}}, publisher = {{John Wiley & Sons Inc.}}, series = {{Clinical Physiology}}, title = {{Vectorcardiogram more sensitive than 12‐lead ECG in the detection of inferior myocardial infarction}}, url = {{http://dx.doi.org/10.1111/j.1475-097X.1990.tb00447.x}}, doi = {{10.1111/j.1475-097X.1990.tb00447.x}}, volume = {{10}}, year = {{1990}}, }