Simultaneous ST-segment elevation in lead V1 and depression in lead V2: a discordant ECG pattern indicating right ventricular infarction
The major electrocardiographic change in right ventricular infarction (RVI) is ST-segment elevation in leads V4R-V6R. The authors describe a discordant electrocardiographic pattern of ST-segment elevation in lead V1 and ST-segment depression in lead V2 in five patients presenting with acute transmur...
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| Veröffentlicht in: | Journal of electrocardiology 1994-07, Vol.27 (3), p.203-207 |
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| container_title | Journal of electrocardiology |
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| creator | MAK, K. H CHIA, B. L TAN, A. T. H JOHAN, A |
| description | The major electrocardiographic change in right ventricular infarction (RVI) is ST-segment elevation in leads V4R-V6R. The authors describe a discordant electrocardiographic pattern of ST-segment elevation in lead V1 and ST-segment depression in lead V2 in five patients presenting with acute transmural (Q wave) inferior infarction and RVI. There were 51 patients with transmural inferior infarction from a thrombolytic trial. In 25 patients, the ST-segment in the right-sided precordial leads was elevated by > or = 1 mm indicating the presence of RVI. In 5 of these 25 patients, simultaneous ST-segment elevation of 1.0-8.0 mm (mean, 2.8 +/- 2.9 mm) in lead V1 and ST-segment depression of 2.5 to 4.0 mm (mean, 3.3 +/- 0.6 mm) in lead V2 were also present. The discordant pattern of the ST-segments in leads V1 and V2 is an important and specific sign for RVI. |
| doi_str_mv | 10.1016/S0022-0736(94)80003-0 |
| format | Article |
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The discordant pattern of the ST-segments in leads V1 and V2 is an important and specific sign for RVI.</description><identifier>ISSN: 0022-0736</identifier><identifier>EISSN: 1532-8430</identifier><identifier>DOI: 10.1016/S0022-0736(94)80003-0</identifier><identifier>PMID: 7930982</identifier><identifier>CODEN: JECAB4</identifier><language>eng</language><publisher>Orlando, FL: Churchill Livingstone</publisher><subject>Adult ; Biological and medical sciences ; Coronary Angiography ; Coronary Vessels - pathology ; Echocardiography ; Electrocardiography ; Electrocardiography. Vectocardiography ; Electrodiagnosis. Electric activity recording ; Female ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Male ; Medical sciences ; Middle Aged ; Myocardial Infarction - diagnosis ; Myocardial Infarction - drug therapy ; Myocardial Infarction - physiopathology ; Radionuclide Ventriculography ; Streptokinase - therapeutic use ; Thrombolytic Therapy ; Tissue Plasminogen Activator - therapeutic use ; Ventricular Function, Right - physiology</subject><ispartof>Journal of electrocardiology, 1994-07, Vol.27 (3), p.203-207</ispartof><rights>1994 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=4235491$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7930982$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>MAK, K. H</creatorcontrib><creatorcontrib>CHIA, B. L</creatorcontrib><creatorcontrib>TAN, A. T. H</creatorcontrib><creatorcontrib>JOHAN, A</creatorcontrib><title>Simultaneous ST-segment elevation in lead V1 and depression in lead V2: a discordant ECG pattern indicating right ventricular infarction</title><title>Journal of electrocardiology</title><addtitle>J Electrocardiol</addtitle><description>The major electrocardiographic change in right ventricular infarction (RVI) is ST-segment elevation in leads V4R-V6R. The authors describe a discordant electrocardiographic pattern of ST-segment elevation in lead V1 and ST-segment depression in lead V2 in five patients presenting with acute transmural (Q wave) inferior infarction and RVI. There were 51 patients with transmural inferior infarction from a thrombolytic trial. In 25 patients, the ST-segment in the right-sided precordial leads was elevated by > or = 1 mm indicating the presence of RVI. In 5 of these 25 patients, simultaneous ST-segment elevation of 1.0-8.0 mm (mean, 2.8 +/- 2.9 mm) in lead V1 and ST-segment depression of 2.5 to 4.0 mm (mean, 3.3 +/- 0.6 mm) in lead V2 were also present. The discordant pattern of the ST-segments in leads V1 and V2 is an important and specific sign for RVI.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Coronary Angiography</subject><subject>Coronary Vessels - pathology</subject><subject>Echocardiography</subject><subject>Electrocardiography</subject><subject>Electrocardiography. Vectocardiography</subject><subject>Electrodiagnosis. Electric activity recording</subject><subject>Female</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Myocardial Infarction - diagnosis</subject><subject>Myocardial Infarction - drug therapy</subject><subject>Myocardial Infarction - physiopathology</subject><subject>Radionuclide Ventriculography</subject><subject>Streptokinase - therapeutic use</subject><subject>Thrombolytic Therapy</subject><subject>Tissue Plasminogen Activator - therapeutic use</subject><subject>Ventricular Function, Right - physiology</subject><issn>0022-0736</issn><issn>1532-8430</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1994</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkM1Kw0AURgdRaq0-QmEWIrqIzl8yiTsptQoFF61uw83MpI4kaZxJCr6Bj-2UhoKruzjnfvfyITSl5J4SmjysCGEsIpInt5m4SwkhPCInaExjzqJUcHKKxkflHF14_xWcjEk2QiOZcZKlbIx-V7buqw4as-09Xq0jbza1aTpsKrODzm4bbBtcGdD4g2JoNNamdcb7f4Q9YsDaerV1GsLyfLbALXSdcXtJWxWSmg12dvPZ4V2Id1b1FbgAS3Bqf-YSnZVQeXM1zAl6f56vZy_R8m3xOntaRi2NSRclSvIiLhlLGdOaFEZKGXNaqiQTEjiwkqZFUijOFRFaylJSmZVMpgyEESTlE3RzyG3d9rs3vsvr8LepqkMFuUxkQlkocYKmg9gXtdF562wN7icfqgv8euDgFVSlg0ZZf9QE47HIKP8Da_x-yw</recordid><startdate>199407</startdate><enddate>199407</enddate><creator>MAK, K. 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H ; JOHAN, A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p150t-6c73b5f22822dd0be777531fc6947a3a2f18b6bc33c04d77f7179f2782a4e4083</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1994</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Coronary Angiography</topic><topic>Coronary Vessels - pathology</topic><topic>Echocardiography</topic><topic>Electrocardiography</topic><topic>Electrocardiography. Vectocardiography</topic><topic>Electrodiagnosis. Electric activity recording</topic><topic>Female</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Myocardial Infarction - diagnosis</topic><topic>Myocardial Infarction - drug therapy</topic><topic>Myocardial Infarction - physiopathology</topic><topic>Radionuclide Ventriculography</topic><topic>Streptokinase - therapeutic use</topic><topic>Thrombolytic Therapy</topic><topic>Tissue Plasminogen Activator - therapeutic use</topic><topic>Ventricular Function, Right - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>MAK, K. H</creatorcontrib><creatorcontrib>CHIA, B. L</creatorcontrib><creatorcontrib>TAN, A. T. H</creatorcontrib><creatorcontrib>JOHAN, A</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of electrocardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>MAK, K. H</au><au>CHIA, B. L</au><au>TAN, A. T. H</au><au>JOHAN, A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Simultaneous ST-segment elevation in lead V1 and depression in lead V2: a discordant ECG pattern indicating right ventricular infarction</atitle><jtitle>Journal of electrocardiology</jtitle><addtitle>J Electrocardiol</addtitle><date>1994-07</date><risdate>1994</risdate><volume>27</volume><issue>3</issue><spage>203</spage><epage>207</epage><pages>203-207</pages><issn>0022-0736</issn><eissn>1532-8430</eissn><coden>JECAB4</coden><abstract>The major electrocardiographic change in right ventricular infarction (RVI) is ST-segment elevation in leads V4R-V6R. The authors describe a discordant electrocardiographic pattern of ST-segment elevation in lead V1 and ST-segment depression in lead V2 in five patients presenting with acute transmural (Q wave) inferior infarction and RVI. There were 51 patients with transmural inferior infarction from a thrombolytic trial. In 25 patients, the ST-segment in the right-sided precordial leads was elevated by > or = 1 mm indicating the presence of RVI. In 5 of these 25 patients, simultaneous ST-segment elevation of 1.0-8.0 mm (mean, 2.8 +/- 2.9 mm) in lead V1 and ST-segment depression of 2.5 to 4.0 mm (mean, 3.3 +/- 0.6 mm) in lead V2 were also present. The discordant pattern of the ST-segments in leads V1 and V2 is an important and specific sign for RVI.</abstract><cop>Orlando, FL</cop><cop>Philadelphia, PA</cop><pub>Churchill Livingstone</pub><pmid>7930982</pmid><doi>10.1016/S0022-0736(94)80003-0</doi><tpages>5</tpages></addata></record> |
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| ispartof | Journal of electrocardiology, 1994-07, Vol.27 (3), p.203-207 |
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| subjects | Adult Biological and medical sciences Coronary Angiography Coronary Vessels - pathology Echocardiography Electrocardiography Electrocardiography. Vectocardiography Electrodiagnosis. Electric activity recording Female Humans Investigative techniques, diagnostic techniques (general aspects) Male Medical sciences Middle Aged Myocardial Infarction - diagnosis Myocardial Infarction - drug therapy Myocardial Infarction - physiopathology Radionuclide Ventriculography Streptokinase - therapeutic use Thrombolytic Therapy Tissue Plasminogen Activator - therapeutic use Ventricular Function, Right - physiology |
| title | Simultaneous ST-segment elevation in lead V1 and depression in lead V2: a discordant ECG pattern indicating right ventricular infarction |
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