title: A sign to heaven: aVR lead elevation and myocardial infarction.
abstract: Isolated ST-segment elevation only in the aVR lead, reflecting an acute myocardial infarction due to a left main coronary artery occlusion, was ignored as part of physicians' training in emergency medicine for a long time. The recognition of aVR lead elevation is becoming more accepted as a mandatory diagnostic tool, in particular for physicians working at emergency departments. We report a typical myocardial infarction with total occlusion of the proximal part of the left anterior coronary artery, presenting with ST-segment elevation in the aVR lead, which was misinterpreted as diffuse ischemia. The lacking mandatory awareness of this entity endangered prompt and correct treatment.
authors: Department of Internal Medicine III, University of Cologne, Cologne, Germany.
authors: Amir M
authors: AM
authors: Nia
authors: Natig
authors: N
authors: Gassanov
authors: Hannes
authors: H
authors: Reuter
authors: Fikret
authors: F
authors: Er
mesh_terms: D017023:Coronary Angiography; D004562:Electrocardiography / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000503:physiopathology*