aVR/V1 ST-segment elevation with diffuse depression in acute coronary syndrome with prior coronary artery bypass grafting

Authors

  • Armando Hong Ming Yee-Acendra Pontificia Universidad Javeriana, Cali, Colombia; Emergency and Trauma Medical Services Institute, Hospital Serena del Mar, Cartagena, Colombia. https://orcid.org/0000-0002-1671-2788
  • Andrea Carolina Wilcox-Robles Universidad Libre, Barranquilla, Colombia; Inpatient Care Service, Hospital Serena del Mar, Cartagena, Colombia. https://orcid.org/0000-0002-7718-2741

DOI:

https://doi.org/10.47487/apcyccv.v7i2.625

Keywords:

Acute Coronary Syndrome, Electrocardiography, Coronary Artery Bypass Grafting

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References

O’Gara PT, Kushner FG, Ascheim DD, Casey DE Jr, Chung MK, de Lemos JA, et al. 2013 ACCF/AHA Guideline for the Management of ST-Elevation Myocardial Infarction: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Circulation. 2013;127(4):e362-425. doi: 10.1161/CIR.0b013e3182742cf6.

Thygesen K, Alpert JS, Jaffe AS, Chaitman BR, Bax JJ, Morrow DA, et al. Fourth Universal Definition of Myocardial Infarction (2018). Circulation. 2018;138(20):e618-e651. doi: 10.1161/ CIR.0000000000000617.

Yamaji H, Iwasaki K, Kusachi S, Murakami T, Hirami R, Hamamoto H, et al. Prediction of acute left main coronary artery obstruction by 12-lead electrocardiography. ST segment elevation in lead aVR with less ST segment elevation in lead V1. J Am Coll Cardiol. 2001;38(5):1348-54. doi: 10.1016/s0735- 1097(01)01563-7.

Kosuge M, Kimura K, Ishikawa T, Ebina T, Shimizu T, Hibi K, et al. Predictors of left main or three-vessel disease in patients who have acute coronary syndromes with non-ST-segment elevation. Am J Cardiol. 2005;95(11):1366-9. doi: 10.1016/j. amjcard.2005.01.085.

Harhash AA, Huang JJ, Reddy S, Natarajan B, Balakrishnan M, Shetty R, et al. aVR ST Segment Elevation: Acute STEMI or Not? Incidence of an Acute Coronary Occlusion. Am J Med. 2019;132(5):622-630. doi: 10.1016/j.amjmed.2018.12.021.

Ahmed S, Khatti S, Shah GA, Khan N, Rai L, Khan MZ, et al. Diffuse ST Depression With ST Elevation aVR In Acute Coronary Syndrome And Its Association With Significant Left Main Or Three Vessel Coronary Artery Disease And Its Confounders. J Ayub Med Coll Abbottabad. 2023;35(1):105-109. doi: 10.55519/ JAMC-01-10590.

Kazemi E, Mansoursamaei A, Bijan M, Hosseinzadeh A, Sheibani H. The prognostic effect of ST-elevation in lead aVR on coronary artery disease, and outcome in acute coronary syndrome patients: a systematic review and meta-analysis. Eur J Med Res. 2022;27(1):302. doi: 10.1186/s40001-022-00931-5.

Kashou AH, May AM, DeSimone CV, Deshmukh AJ, Asirvatham SJ, Noseworthy PA. Diffuse ST-segment depression despite prior coronary bypass grafting: An electrocardiographicangiographic correlation. J Electrocardiol. 2019;55:28-31. doi: 10.1016/j.jelectrocard.2019.04.014.

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Published

2026-05-27

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Section

Letters to the editor