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      Correlation between the Admission Electrocardiogram and Regional Wall Motion Abnormalities As Detected by Echocardiography in Anterior Acute Myocardial Infarction

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          We correlated ST elevation in various leads on admission and regional dysfunction in 132 patient with first anterior acute myocardial infarction using echocardiography. ST elevation in leads I and a VL and II, III and aVF was not associated with a specific pattern of regional dysfunction. Basal anterior and septal regional dysfunction were seen more often in patients with ST elevation in V1 (49 vs. 25%, p = 0.006; 35 vs. 17%, p = 0.048, respectively). Patients with ST elevation in V2 had more regional dysfunction of the apical inferior region (84 vs. 53%; p = 0.01). ST elevation in V5 and V6 was not associated with more apical or lateral wall motion abnormalities. ST elevation in lead V1 in anterior myocardial infarction is associated with a high incidence of regional dysfunction of the basal anterior, anteroseptal and septal regions.

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          Angiographic and Clinical Significance of `Transient' ST-Segment Depression in the Lateral Chest Leads in Anterior Wall Acute Myocardial Infarction


            Author and article information

            S. Karger AG
            January 2001
            12 January 2001
            : 94
            : 2
            : 118-126
            Department of Cardiology, Rabin Medical Center, Beilinson Campus, Petah Tiqva, and Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel
            47303 Cardiology 2000;94:118–126
            © 2001 S. Karger AG, Basel

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            Figures: 5, References: 25, Pages: 9
            Coronary Care


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