results prediction of the rca as culprit lesion using tierala's algorithm was 86% sensitive and 50% specific. prediction of lcx occlusion based on st-elevation ≥ 1 mm in v6 was 87% specific (p = 0.005). sum of st elevation in leads v5 and v6 more than 2.5 mm, was a good marker of lcx prediction (p = 0.044). st-elevation in v4r was 48% sensitive and 89% specific for rca prediction (p = 0.004). w...

Objective: To assess the in-hospital outcomes in Anterior wall ST Elevation Myocardial Infarction patients presenting with Right Bundle Branch Block different reperfusion strategies.
 Study Design: Analytical Cross-Sectional Study.
 Place and Duration of Study: Department Cardiology, Rawalpindi Institute Pakistan, from Sep 2020 to Feb 2021.
 Methodology: Patients myocardial infar...

BACKGROUND Primary percutaneous coronary angioplasty is an effective and widely adopted treatment for acute myocardial infarction. A simple method of determining prognosis after primary percutaneous coronary intervention (PCI) would facilitate appropriate care and expedite hospital discharge. Thus, we determined the prognostic importance of various measures of ST-segment-elevation recovery afte...

BACKGROUND Coronary microvascular dysfunction is frequently seen in patients with ST-elevation myocardial infarction after primary percutaneous coronary intervention. Previous studies have suggested that the administration of intravenous adenosine resulted in an improvement of myocardial perfusion and a reduction in infarct size. Intracoronary adenosine (bolus of 30 to 60 microg) is a guideline...

Exercise-induced ST-segment elevation was correlated with myocardial perfusion abnormalities and coronary artery obstruction in 35 patients. Ten patients (group 1) developed exercise ST elevation in leads without Q waves on the resting ECG. The site of ST elevation corresponded to both a reversible perfusion defect and a severely obstructed coronary artery. Associated ST-segment depression in o...

The term “acute coronary syndrome” encompasses unstable angina and non-ST-segment elevation myocardial infarction (UA/ NSTEMI) and ST-segment elevation myocardial infarction (STEMI). UA/NSTEMI is the combination of two closely related clinical entities (i.e., a syndrome), whereas STEMI is a distinct clinical entity. UA/NSTEMI is characterized by an imbalance between myocardial oxygen supply and...

To detect right ventricular involvement, lead V4R was recorded within 10 hours of the onset of chest pain in 42 consecutive patients admitted with acute inferior wall myocardial infarction. One week after the acute infarction, multigated equilibrium radionuclide ventriculography was performed to assess right and left ventricular ejection fraction. Two weeks after the acute infarction, coronary ...

In the clinical assessment of chest pain, electrocardiography is an essential adjunct to the clinical history and physical examination. A rapid and accurate diagnosis in patients with acute myocardial infarction is vital, as expeditious reperfusion therapy can improve prognosis. The most frequently used electrocardiographic criterion for identifying acute myocardial infarction is ST segment ele...

To determine the ability of initial ST segment elevation and depression to predict infarct size limitation by thrombolytic therapy, data were analyzed in 721 patients with acute myocardial infarction who were admitted to a randomized, placebo-controlled study of intravenous recombinant tissue-type plasminogen activator. Patients with QRS duration of 120 msec or more or with previous history ofm...