Management of Acute Coronary Syndrome with ST Segment Elevation aVR Leads in Hospitals with Limited Facilities
David Kristianus,
Yuliana Rias Mayasari,
Leona Friyanti Ngadiah
Abstract:Analysis of aVR leads on electrocardiography (ECG) is often given less attention, when in fact ST-segment elevation in aVR leads and diffuse ST-segment depression in other leads indicates circumferential subendocardial ischemia, which can be caused by left main coronary artery occlusion (LMCA) or three-vessel coronary artery disease (3VD) and is associated with a poor prognosis. An 83-year-old male came to the emergency room with chest pain for 18 hours. The ECG showed ST-segment elevation in the aVR with diff… Show more
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