Lead aVR: beyond 'No man's land'.
Coronary artery disease (CAD) is one of the leading causes of mortality in the world. Treadmill test is a very useful non-invasive test to diagnose and stratify the risk of CAD. Lead aVR is usually a neglected lead while reading the ECG. We describe a case demonstrating the importance of subtle changes in lead aVR that has got a direct angiographic correlation with left main CAD. Therefore picking up the subtle clues on ECG may help in stratifying the risk and optimal treatment of the patient in a timely fashion.
Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, Karnataka, India.
Bhupinder
B
Singh
Amjad
A
Ali
Vivek
V
Singla
Sadananda K
SK
Gowda
D015906:Angioplasty, Balloon, Coronary; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000628:therapy; D023921:Coronary Stenosis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000628:therapy; D004562:Electrocardiography / Q000379:methods*; D005080:Exercise Test / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged