Isolated inferior wall ST segment depression as an early sign of acute anterior wall myocardial infarction (2024)

Bar-Yishay, I., Gilutz, H., Cafri, C., Ilia, R., & Zahger, D. (2010). Isolated inferior wall ST segment depression as an early sign of acute anterior wall myocardial infarction. Acute Cardiac Care, 12(4), 119-123. https://doi.org/10.3109/17482941.2010.528429

Bar-Yishay, Iddo ; Gilutz, Harel ; Cafri, Carlos et al. / Isolated inferior wall ST segment depression as an early sign of acute anterior wall myocardial infarction. In: Acute Cardiac Care. 2010 ; Vol. 12, No. 4. pp. 119-123.

@article{d99a24121106419aacd22a2d00af1530,

title = "Isolated inferior wall ST segment depression as an early sign of acute anterior wall myocardial infarction",

abstract = "Background: Reciprocal changes may accompany ST segment elevation in the ischemic territory during acute myocardial infarction (AMI). We examined the hypothesis that isolated inferior ST segment depression on admission is an early sign of anterior wall infarction. Methods: 49 patients admitted to the coronary care unit between January 1996 and June 2008 who presented with inferior ST segment depression in the absence of ST segment elevation. Electrocardiograms (ECGs) obtained on admission and at 24-48 h were reviewed. Culprit artery was determined based on angiographic and echocardiographic data. Results: All patients had ST segment depression in the inferior leads on admission. A subgroup (55%) presented with concomitant ST segment depression in V5-V6. Follow-up ECG showed that 35% developed ST segment elevations and/or T wave inversions in anterior wall leads over 24-48 h. The left anterior descending (LAD) artery or one of its branches was the culprit in 60% of the patients. Sum of ST segment depression, V5-V6 involvement or presence of 'hyperacute' T waves did not predict LAD involvement. Conclusion: Isolated ST segment depression in the inferior wall leads during ACS is usually an early sign of anterior wall AMI, in which the LAD or one of its branches is the culprit artery.",

keywords = "Acute coronary syndrome, Electrocardiography, Myocardial infarction",

author = "Iddo Bar-Yishay and Harel Gilutz and Carlos Cafri and Reuben Ilia and Doron Zahger",

year = "2010",

month = dec,

day = "1",

doi = "10.3109/17482941.2010.528429",

language = "English",

volume = "12",

pages = "119--123",

journal = "Acute Cardiac Care",

issn = "1748-2941",

publisher = "Informa Healthcare",

number = "4",

}

Bar-Yishay, I, Gilutz, H, Cafri, C, Ilia, R & Zahger, D 2010, 'Isolated inferior wall ST segment depression as an early sign of acute anterior wall myocardial infarction', Acute Cardiac Care, vol. 12, no. 4, pp. 119-123. https://doi.org/10.3109/17482941.2010.528429

Isolated inferior wall ST segment depression as an early sign of acute anterior wall myocardial infarction. / Bar-Yishay, Iddo; Gilutz, Harel; Cafri, Carlos et al.
In: Acute Cardiac Care, Vol. 12, No. 4, 01.12.2010, p. 119-123.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Isolated inferior wall ST segment depression as an early sign of acute anterior wall myocardial infarction

AU - Bar-Yishay, Iddo

AU - Gilutz, Harel

AU - Cafri, Carlos

AU - Ilia, Reuben

AU - Zahger, Doron

PY - 2010/12/1

Y1 - 2010/12/1

N2 - Background: Reciprocal changes may accompany ST segment elevation in the ischemic territory during acute myocardial infarction (AMI). We examined the hypothesis that isolated inferior ST segment depression on admission is an early sign of anterior wall infarction. Methods: 49 patients admitted to the coronary care unit between January 1996 and June 2008 who presented with inferior ST segment depression in the absence of ST segment elevation. Electrocardiograms (ECGs) obtained on admission and at 24-48 h were reviewed. Culprit artery was determined based on angiographic and echocardiographic data. Results: All patients had ST segment depression in the inferior leads on admission. A subgroup (55%) presented with concomitant ST segment depression in V5-V6. Follow-up ECG showed that 35% developed ST segment elevations and/or T wave inversions in anterior wall leads over 24-48 h. The left anterior descending (LAD) artery or one of its branches was the culprit in 60% of the patients. Sum of ST segment depression, V5-V6 involvement or presence of 'hyperacute' T waves did not predict LAD involvement. Conclusion: Isolated ST segment depression in the inferior wall leads during ACS is usually an early sign of anterior wall AMI, in which the LAD or one of its branches is the culprit artery.

AB - Background: Reciprocal changes may accompany ST segment elevation in the ischemic territory during acute myocardial infarction (AMI). We examined the hypothesis that isolated inferior ST segment depression on admission is an early sign of anterior wall infarction. Methods: 49 patients admitted to the coronary care unit between January 1996 and June 2008 who presented with inferior ST segment depression in the absence of ST segment elevation. Electrocardiograms (ECGs) obtained on admission and at 24-48 h were reviewed. Culprit artery was determined based on angiographic and echocardiographic data. Results: All patients had ST segment depression in the inferior leads on admission. A subgroup (55%) presented with concomitant ST segment depression in V5-V6. Follow-up ECG showed that 35% developed ST segment elevations and/or T wave inversions in anterior wall leads over 24-48 h. The left anterior descending (LAD) artery or one of its branches was the culprit in 60% of the patients. Sum of ST segment depression, V5-V6 involvement or presence of 'hyperacute' T waves did not predict LAD involvement. Conclusion: Isolated ST segment depression in the inferior wall leads during ACS is usually an early sign of anterior wall AMI, in which the LAD or one of its branches is the culprit artery.

KW - Acute coronary syndrome

KW - Electrocardiography

KW - Myocardial infarction

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U2 - 10.3109/17482941.2010.528429

DO - 10.3109/17482941.2010.528429

M3 - Article

C2 - 20954789

AN - SCOPUS:78049498356

SN - 1748-2941

VL - 12

SP - 119

EP - 123

JO - Acute Cardiac Care

JF - Acute Cardiac Care

IS - 4

ER -

Bar-Yishay I, Gilutz H, Cafri C, Ilia R, Zahger D. Isolated inferior wall ST segment depression as an early sign of acute anterior wall myocardial infarction. Acute Cardiac Care. 2010 Dec 1;12(4):119-123. doi: 10.3109/17482941.2010.528429