158. Chest Pain and Lead aVR ST Segment Elevation

  1. Christopher P. Holstege MD1,2,3,
  2. Alexander B. Baer MD1,4,
  3. Jesse M. Pines MD, MBA, MSCE5,6 and
  4. William J. Brady MD7,8,9

Published Online: 3 AUG 2011

DOI: 10.1002/9781444397994.ch158

Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition

Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition

How to Cite

Holstege, C. P., Baer, A. B., Pines, J. M. and Brady, W. J. (eds) (2011) Chest Pain and Lead aVR ST Segment Elevation, in Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition, Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444397994.ch158

Editor Information

  1. 1

    Division of Medical Toxicology, University of Virginia School of Medicine, Charlottesville, VA, USA

  2. 2

    Blue Ridge Poison Center, University of Virginia School of Medicine, Charlottesville, VA, USA

  3. 3

    Departments of Emergency Medicine & Pediatrics, University of Virginia School of Medicine, Charlottesville, VA, USA

  4. 4

    Department of Emergency Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA

  5. 5

    Center for Health Care Quality, George Washington University, Washington, DC, USA

  6. 6

    Departments of Emergency Medicine and Health Policy, George Washington University, Washington, DC, USA

  7. 7

    Department of Emergency Medicine, University of Virginia, Charlottesville, VA, USA

  8. 8

    Center for Emergency Management, University of Virginia Health System, Charlottesville, VA, USA

  9. 9

    Charlottesville-Albemarle Rescue Squad & Albemarle County, Fire Rescue, Charlottesville, VA, USA

Publication History

  1. Published Online: 3 AUG 2011
  2. Published Print: 12 AUG 2011

ISBN Information

Print ISBN: 9781444333473

Online ISBN: 9781444397994

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Keywords:

  • Case 48, chest pain and lead aVR ST segment elevation;
  • diagnosis - ST elevation myocardial infarction (STEMI), left main coronary artery obstructive lesion;
  • ECG, and ST segment elevation in leads V1 and V2 - consistent with anterior wall STEMI;
  • rapid diagnosis, management of STEMI - reducing associated morbidity and mortality;
  • 12-lead ECG, central role - in early diagnosis of STEMI;
  • ST segment elevation, in lead aVR - risk, with left main coronary artery (LMCA) obstruction;
  • STEMI, from LMCA obstruction - high mortality rate, managed with reperfusion strategies other than fibrinolysis;
  • electrocardiographic finding, associated - with significant risk of short-term adverse events;
  • early recognition of finding, patients with ACS - definitive therapy, in high-risk patient population

Summary

This chapter contains sections titled:

  • Further reading