Korean J Med > Volume 77(1); 2009 > Article
The Korean Journal of Medicine 2009;77(1):82-86.
A case of left main NSTEMI with ST segment elevation in lead aVR
Jae-Won Choi, Sung-Won Choi, Seung-Jei Park, Dong Won Lee, Hyeon gook Lee, Kyoung Im Cho, Tae Ik Kim
aVR의 ST절 상승을 동반한 좌주간부 관상동맥 협착에 의한 NSTEMI 1예
최재원, 최성원, 박승제, 이동원, 이현국, 조경임, 김태익
Abstract
The 12-lead electrocardiogram (ECG) is an inexpensive bedside tool that most physicians use to make rapid diagnoses such as acute myocardial infarction (AMI), arrhythmia, and conduction abnormalities. Although each lead in the ECG represents electronic information from specific portions of the heart, lead aVR, an augmented unipolar limb lead, is frequently ignored. The aVR lead provides excellent information from the right portion of the heart, including the outflow tract of the right ventricle and basal portion of the septum. In this report, we discuss ST segment elevation changes in lead aVR of serial ECGs in emergency room patients with chief complaints of syncope and chest discomfort.
Key Words: Acute coronary syndrome; Coronary artery; Electrocardiography


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