title: Correlation between the admission electrocardiogram and regional wall motion abnormalities as detected by echocardiography in anterior acute myocardial infarction.
abstract: We correlated ST elevation in various leads on admission and regional dysfunction in 132 patient with first anterior acute myocardial infarction using echocardiography. ST elevation in leads I and a VL and II, III and aVF was not associated with a specific pattern of regional dysfunction. Basal anterior and septal regional dysfunction were seen more often in patients with ST elevation in V1 (49 vs. 25%, p = 0.006; 35 vs. 17%, p = 0.048, respectively). Patients with ST elevation in V2 had more regional dysfunction of the apical inferior region (84 vs. 53%; p = 0.01). ST elevation in V5 and V6 was not associated with more apical or lateral wall motion abnormalities. ST elevation in lead V1 in anterior myocardial infarction is associated with a high incidence of regional dysfunction of the basal anterior, anteroseptal and septal regions.
authors.affiliation: Department of Cardiology, Rabin Medical Center, Beilinson Campus, Petah Tiqva, Israel.
authors.forename: A
authors.initials: A
authors.lastname: Porter
authors.forename: A
authors.initials: A
authors.lastname: Wyshelesky
authors.forename: B
authors.initials: B
authors.lastname: Strasberg
authors.forename: M
authors.initials: M
authors.lastname: Vaturi
authors.forename: A
authors.initials: A
authors.lastname: Solodky
authors.forename: S
authors.initials: S
authors.lastname: Imbar
authors.forename: A
authors.initials: A
authors.lastname: Sagie
authors.forename: A
authors.initials: A
authors.lastname: Battler
authors.forename: Y
authors.initials: Y
authors.lastname: Birnbaum
mesh_terms: D000368:Aged; D004562:Electrocardiography; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000000981:diagnostic imaging*; D014463:Ultrasonography; D018754:Ventricular Dysfunction / Q000175:diagnosis