- 【Updated on May 12, 2025】 Integration of CiNii Dissertations and CiNii Books into CiNii Research
- Trial version of CiNii Research Knowledge Graph Search feature is available on CiNii Labs
- Suspension and deletion of data provided by Nikkei BP
- Regarding the recording of “Research Data” and “Evidence Data”
Electrocardiographic Diagnosis of the Coronary Artery Culprit Site in Ischemic Heart Disease
-
- Abo Yasuhiro
- Division of Cardiology, Fujita Health University, The 2nd Hospital
-
- Yokoi Hiroatsu
- Division of Cardiology, Fujita Health University, The 2nd Hospital
-
- Furuta Toshiya
- Division of Cardiology, Fujita Health University, The 2nd Hospital
-
- Kondo Takahisa
- Division of Cardiology, Fujita Health University, The 2nd Hospital
-
- Inami Osamu
- Division of Cardiology, Fujita Health University, The 2nd Hospital
-
- Kakizawa Satoshi
- Division of Cardiology, Fujita Health University, The 2nd Hospital
-
- Fujiwara Wakaya
- Division of Cardiology, Fujita Health University, The 2nd Hospital
-
- Tamura Kenji
- Division of Cardiology, Fujita Health University, The 2nd Hospital
-
- Nomura Masanori
- Division of Cardiology, Fujita Health University, The 2nd Hospital
-
- Watanabe Yoshihiko
- Nagoya Comprehensive Medical Center
Search this article
Description
The diagnostic accuracy of using electrocardiographic findings to identify affected vessels in cases of myocardial infarction and angina pectoris treated by percutaneous transluminal coronary angioplasty was assessed. From the anterior wall leads, ST segment elevation in leads I and aVL showed diagnostic accuracy (sensitivity, specificity and positive predictive value) in identifying proximal lesions of the left anterior descending coronary artery of 89%, 58% and 62%, and the diagnostic accuracy of the QS wave in V1 was 62%, 83% and 72%, respectively. For the posterior wall leads, the corresponding values for the diagnosis of affected vessels based on R/S>1 in V1 for the left circumflex coronary artery were 50%, 89% and 60%, respectively. The inferior wall leads with ST segment elevation in leads II, III and aVF, and ST segment depression in aVL, showed diagnostic accuracy for the right coronary artery of 90%, 90% and 92%, respectively. Bifurcation of the first diagonal branch, dominance of the posterior descending branch, the normal subtypes of the coronary artery and the occurrence of spontaneous recanalization may have influenced the accuracy of diagnosis. Adding a high lateral wall lead one intercostal space above V4 and a posterior wall lead located one intercostal space below V6 appeared to increase the diagnostic accuracy of detecting the coronary artery lesions responsible for myocardial ischemia. (Circ J 2003; 67: 775 - 780)<br>
Journal
-
- Circulation Journal
-
Circulation Journal 67 (9), 775-780, 2003
The Japanese Circulation Society
- Tweet
Keywords
Details 詳細情報について
-
- CRID
- 1390282680080902272
-
- NII Article ID
- 110002666401
-
- NII Book ID
- AA11591968
-
- COI
- 1:STN:280:DC%2BD3svgtVKntQ%3D%3D
-
- ISSN
- 13474820
- 13469843
-
- PubMed
- 12939554
-
- Text Lang
- en
-
- Article Type
- journal article
-
- Data Source
-
- JaLC
- Crossref
- PubMed
- CiNii Articles
- OpenAIRE
-
- Abstract License Flag
- Disallowed