Abstract

The relationship between ST segment elevation on the right precordial lead V 4R and the hemodynamic, echocardiographic, and myocardial scintigraphic signs suggestive of right ventricular (RV) infarction was studied in 42 patients with acute inferior myocardial infarction. Twenty-two patients had ST segment elevation in V 4R. Among these patients, a significant correlation was demonstrated between V 4R ST segment elevation and the hemodynamic ( p < 0.001), scintigraphic ( p < 0.001), and echographic ( p < 0.02) criteria for acute RV infarction. These results support the validity of this new electrocardiographic sign as a practical means in alding the clinical detection of RV involvement with acute transmural inferior myocardial infarction.

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