title: Dilemma of localization of culprit vessel by electrocardiography in acute myocardial infarction.
abstract: Acute coronary syndrome (ACS) and electrocardiography showing ST elevation in Lead aVR>V1 are considered specific for left main coronary artery lesion and also suggest extensive anterior wall myocardial infarction. In this backdrop, we are presenting an incidental observation of an association of ST elevation in lead aVR>V1 in isolated proximal left circumflex lesion in the setting of ACS, who later underwent successful primary percutaneous coronary intervention.
authors.affiliation: Department of Cardiology, Amala Institute of Medical Sciences, Amala Nagar, Thrissur 680 555, Kerala, India. Electronic address: thrudeep1@yahoo.com.
authors.forename: S
authors.initials: S
authors.lastname: Thrudeep
authors.affiliation: Department of Cardiology, Amala Institute of Medical Sciences, Amala Nagar, Thrissur 680 555, Kerala, India.
authors.forename: George
authors.initials: G
authors.lastname: Geofi
authors.affiliation: Department of Cardiology, Amala Institute of Medical Sciences, Amala Nagar, Thrissur 680 555, Kerala, India.
authors.forename: George
authors.initials: G
authors.lastname: Rupesh
authors.affiliation: Department of Cardiology, Amala Institute of Medical Sciences, Amala Nagar, Thrissur 680 555, Kerala, India.
authors.forename: S
authors.initials: S
authors.lastname: Abdulkhadar
mesh_terms: D000328:Adult; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000601:surgery; D003937:Diagnosis, Differential; D004562:Electrocardiography / Q000379:methods*; D006801:Humans; D008297:Male; D062645:Percutaneous Coronary Intervention / Q000379:methods; D000072657:ST Elevation Myocardial Infarction / Q000175:diagnosis* / Q000601:surgery
keywords: Lead aVR; Left circumflex coronary artery; Left main coronary artery; Percutaneous coronary intervention.; ST elevation