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., ...Daha Fazla

ANATOLIAN JOURNAL OF CARDIOLOGY, cilt.23, sa.6, ss.318-323, 2020 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 23 Sayı: 6
  • Basım Tarihi: 2020
  • Doi Numarası: 10.14744/anatoljcardiol.2020.24583
  • Dergi Adı: ANATOLIAN JOURNAL OF CARDIOLOGY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, CINAHL, EMBASE, MEDLINE, Directory of Open Access Journals, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.318-323
  • Anahtar Kelimeler: coronary occlusion, electrocardiogram, infarct-related artery, myocardial infarction, ST-segment elevation
  • Dokuz Eylül Üniversitesi Adresli: Hayır

Özet

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.