Does electrocardiogram help in identifying the culprit artery when angiogram shows both right and circumflex artery disease in inferior myocardial infarction?

Yildirimturk O., Aslanger E., Bozbeyoglu E., Simsek B., Simsek M. A., Aydin Y. S., ...More

ANATOLIAN JOURNAL OF CARDIOLOGY, vol.23, no.6, pp.318-323, 2020 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 23 Issue: 6
  • Publication Date: 2020
  • Doi Number: 10.14744/anatoljcardiol.2020.24583
  • Journal Name: ANATOLIAN JOURNAL OF CARDIOLOGY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, CINAHL, EMBASE, MEDLINE, Directory of Open Access Journals, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.318-323
  • Keywords: coronary occlusion, electrocardiogram, infarct-related artery, myocardial infarction, ST-segment elevation, ST-SEGMENT ELEVATION, RIGHT CORONARY-ARTERY, OCCLUSION, LOCATION, DIFFERENTIATION, INVOLVEMENT, DEPRESSION, ALGORITHM, CRITERIA, SITE
  • Dokuz Eylül University Affiliated: No

Abstract

Objective: In a subgroup of patients with inferior myocardial infarction (MI), both the right coronary artery (RCA) and circumflex coronary artery (Cx) show potentially culprit lesions, and angiography may be insufficient to determine which artery is responsible for the clinical presentation. Although many electrocardiographic (ECG) algorithms have been proposed for identifying the infarct-related artery in patients with inferior MI, it is unclear whether the current algorithms have the discriminative power to identify the real culprit artery in these patients.