OP-093 Diagnostic Value of Horizontal ECG Method for Detecting St Segment Changes in Patients with Acute Anterolateral Myocardial İnfarction




Objective


The aim of the present study is to compare the amount of ST segment elevation on horizontal electrocardiography (hECG) by placing standard precordial leads (V3-6) horizontally on the left 4th intercostal space with standard ECG (sECG) in patients with acute anterior and/or lateral ST segment elevation myocardial infarction (STEMI).




Methods


Consecutive eligible patients (n=58) who were diagnosed with acute anterior and/or lateral STEMI were included in the study. After recording simultaneous hECG and sECG ST segment changes in precordial leads (V3-6) were compared.




Methods


Consecutive eligible patients (n=58) who were diagnosed with acute anterior and/or lateral STEMI were included in the study. After recording simultaneous hECG and sECG ST segment changes in precordial leads (V3-6) were compared.




Results


The mean ST segment changes (mm) on hECG were significantly higher than sECG in V4 (2.7±2 vs 2.1±2.1, p=0.001), V5 (2.1±1.7 vs 1.2±1.6, p<0.001) and V6 (0.9±1 vs 0.4±1.2, p<0.001), respectively (Table-1, Figure-1). When hECG and sECG were compared in patients with BMI <30kg/m2, mean ST segment changes (mm) on hECG were significantly higher than sECG in V4 (2.9±2.1 vs 2.1±2.4, p=0.004), V5 (2.2±1.9 vs 1.3±1.7, p<0.001) and V6 (1.1±1.1 vs 0.4±1.1, p<0.001), respectively.

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Nov 27, 2016 | Posted by in CARDIOLOGY | Comments Off on OP-093 Diagnostic Value of Horizontal ECG Method for Detecting St Segment Changes in Patients with Acute Anterolateral Myocardial İnfarction

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