The American Journal of Medicine
Volume 122, Issue 6 , Pages 522-524 , June 2009

Extra Leads Solve the Case

  • Atul Singla, MD

      Affiliations

    • Division of Internal Medicine, University of Missouri—Columbia
    • Both authors contributed equally to this work.
    • Corresponding Author InformationRequests for reprints should be addressed to Atul Singla, MD, Division of Internal Medicine, One Hospital Drive, MA419, Columbia, MO 65212
    • ,
  • Rajeev Garg, MD

      Affiliations

    • Division of Cardiology, University of Missouri—Columbia
    • Both authors contributed equally to this work.
    • ,
  • Nadish Garg, MD

      Affiliations

    • Division of Cardiology, University of Missouri—Columbia
    • ,
  • Anand Chockalingam, MD

      Affiliations

    • Division of Cardiology, University of Missouri—Columbia

References 

  1. Agarwal JB, Khaw K, Aurignac F, LoCurto A. Importance of posterior chest leads in patients with suspected myocardial infarction, but nondiagnostic, routine 12-lead electrocardiogram. Am J Cardiol. 1999;83:323–326
  2. Novak PG, Davies C, Gin KG. Survey of British Columbia cardiologists' and emergency physicians' practice of using nonstandard ECG leads (V4R to V6R and V7 to V9) in the diagnosis and treatment of acute myocardial infarction. Can J Cardiol. 1999;15:967–972
  3. Huey BL, Beller GA, Kaiser DL, Gibson RS. A comprehensive analysis of myocardial infarction due to left circumflex artery occlusion: Comparison with infarction due to right coronary artery and left anterior descending artery occlusion. J Am Coll Cardiol. 1988;12:1156–1166
  4. Casas RE, Marriott HJ, Glancy DL. Value of leads V7-V9 in diagnosing posterior wall acute myocardial infarction and other causes of tall R waves in V1-V2. Am J Cardiol. 1997;80:508–509
  5. Khaw K, Moreyra AE, Tannenbaum AK, et al. Improved detection of posterior myocardial wall ischemia with the 15-lead electrocardiogram. Am Heart J. 1999;138(5 Pt 1):934–940
  6. Cheitlin MD, Armstrong WF, Aurigemma GP, et al. ACC/AHA/ASE 2003 guideline update for the clinical application of echocardiography—summary article: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (ACC/AHA/ASE Committee to Update the 1997 Guidelines for the Clinical Application of Echocardiography). J Am Coll Cardiol. 2003;42:954–970
  7. Matetzky S, Freimark D, Chouraqui P, et al. Significance of ST segment elevations in posterior chest leads (V7 to V9) in patients with acute inferior myocardial infarction: Application for thrombolytic therapy. J Am Coll Cardiol. 1998;31:506–511

 Julia H. Indik, MD, PhD, Section Editor

 Funding: None.

 Conflict of Interest: None.

 Authorship: All authors had access to the data and played a role in writing the manuscript.

PII: S0002-9343(09)00203-4

doi: 10.1016/j.amjmed.2009.03.008

The American Journal of Medicine
Volume 122, Issue 6 , Pages 522-524 , June 2009

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