A sign to heaven: aVR lead elevation and myocardial infarction.


Isolated ST-segment elevation only in the aVR lead, reflecting an acute myocardial infarction due to a left main coronary artery occlusion, was ignored as part of physicians' training in emergency medicine for a long time. The recognition of aVR lead elevation is becoming more accepted as a mandatory diagnostic tool, in particular for physicians working at emergency departments. We report a typical myocardial infarction with total occlusion of the proximal part of the left anterior coronary artery, presenting with ST-segment elevation in the aVR lead, which was misinterpreted as diffuse ischemia. The lacking mandatory awareness of this entity endangered prompt and correct treatment.

DOI: 10.1100/tsw.2011.63

Cite this paper

@article{Nia2011AST, title={A sign to heaven: aVR lead elevation and myocardial infarction.}, author={Amir Movahed Nia and Natig Gassanov and Hannes Isaak Reuter and Fikret Er}, journal={TheScientificWorldJournal}, year={2011}, volume={11}, pages={662-5} }