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ST-Segment Elevation of Right Precordial Lead (V4R) Is Associated with Multivessel Disease and Increased In-Hospital Mortality in Acute Anterior Myocardial Infarction Patients

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dc.contributor.authorTusun, Eyyup
dc.contributor.authorUluganyan, MAHMUT
dc.contributor.authorUgur, Murat
dc.contributor.authorKaraca, Gurkan
dc.contributor.authorOsman, Faizel
dc.contributor.authorKoroglu, Bayram
dc.contributor.authorMurat, Ahmet
dc.contributor.authorEkmekci, Ahmet
dc.contributor.authorUyarel, Huseyin
dc.contributor.authorSahin, Osman
dc.contributor.authorEren, Mehmet
dc.contributor.authorBolca, Osman
dc.contributor.institutionauthorULUGANYAN, MAHMUT
dc.date.accessioned2019-12-23T20:59:30Z
dc.date.available2019-12-23T20:59:30Z
dc.date.issued2015-07-01
dc.description.abstractBackground: ST segment elevation of chest lead V4 R is associated with worse prognosis in acute inferior ST-elevation myocardial infarction (STEMI). This study tried to determine the relationship between ST elevation in the right precordial lead V4 R and acute anterior STEMI. Methods: Prospective study of 144 consecutive anterior STEMI patients: all had 15-lead ECG recordings (12 conventional leads and V3 R-V5 R) obtained. Patients were classified into two groups on the basis of presence (Group I, 50 patients) or absence (Group II, 94 patients) of ST-segment elevation ≥0.5 mm in lead V4 R. Results: Multivessel involvement was significantly higher in Group I compared with Group II (54% and 23% respectively, P < 0.001). Major adverse cardiac events and in-hospital mortality was also significantly higher for those in Group I (P < 0.02 for both). A significant correlation was found between in-hospital mortality and those in Group I (P = 0.03, OR: 6.27, CI: 1.22-32.3). There was an independent relationship between in-hospital mortality and V4 R-ST elevation (P = 0.03, OR: 11.64, CI: 1.3-27.4). Conclusion: ST segment elevation in chest lead V4 R is associated with multivessel disease and increased in-hospital mortality in patients with anterior STEMI that had undergone primary percutaneous coronary intervention to the left anterior descending artery.en
dc.identifier.citationTusun E., Uluganyan M., Ugur M., Karaca G., Osman F., Koroglu B., Murat A., Ekmekci A., Uyarel H., Sahin O., et al., -ST-Segment Elevation of Right Precordial Lead (V4R) Is Associated with Multivessel Disease and Increased In-Hospital Mortality in Acute Anterior Myocardial Infarction Patients-, ANNALS OF NONINVASIVE ELECTROCARDIOLOGY, cilt.20, ss.362-367, 2015
dc.identifier.doi10.1111/anec.12199
dc.identifier.pubmed25209301
dc.identifier.scopus84936989201
dc.identifier.urihttps://hdl.handle.net/20.500.12645/10749
dc.identifier.wosWOS:000357889900007
dc.language.isoen
dc.rightsinfo:eu-repo/semantics/openAccessen
dc.subjectMyocardial infarction
dc.titleST-Segment Elevation of Right Precordial Lead (V4R) Is Associated with Multivessel Disease and Increased In-Hospital Mortality in Acute Anterior Myocardial Infarction Patients
dc.typeArticle
dspace.entity.typePublication
local.avesis.id91efcdf0-5b08-4fe4-865b-118b349312bb
local.publication.isinternational1
relation.isAuthorOfPublication1e69f2ef-56fe-4fc1-a53e-296397ed762b
relation.isAuthorOfPublication.latestForDiscovery1e69f2ef-56fe-4fc1-a53e-296397ed762b
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