[Value of admission electrocardiogram for predicting multivessel disease in acute anterior and anterior-inferior myocardial infarction].

OBJECTIVE

The correlation between admission Electrocardiogram (ECG) and coronary angiography findings have the responsibility for culprit vessel in predicting the infarct or multivessel disease (MVD) in acute anterior or anterior-inferior ST segment elevation myocardial infarction.

METHODS

Between 2012 January and 2012 December, in Emergency Department Beijing Anzhen Hospital, Concessive 203 patients were retrospective investigated with the diagnosis of anterior AMI (ASTEMI) with or without ST-segment elevation or ST-segment depression in at least two leads in II, III, aVF. Patients are categoried in 3 groups by ECG (1) ASTEMI with inferior depressions, (2) ASTEMI with inferior elevations,(3) all ASTEMI according to the ST-segment changes in the inferior region were analyzed by the presence of LAD (SLAD) or multivessles involvement.

RESULTS

The ST-segment depression in aVL and V6 significantly correlated with MVD in ASTEMI patients with whose reciprocal changes in the inferior leads (P = 0.004 and P = 0.031, respectively). The analyse of all the patients with ASTEMI, the association between the presence of MVD and ST-segment depression in leads aVL,V4,V5 and V6 is significant (P = 0.041, P = 0.012, P = 0.014, P = 0.001, respectively).

CONCLUSIONS

In the admission ECG, ST-segment depression in anterolateral leads of anterior AMI patients who with reciprocal changes in inferior leads were associated with MVD.