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- W2169593852 abstract "We examined the relationship between coronary anatomy and anterolateral ST segment depression during inferior acute myocardial infarction (AMI) in 84 consecutive survivors of inferior AMI, who underwent prospective coronary angiography a median time of 2 weeks after AMI. Multivessel disease was defined as two or more significantly (>70%) stenosed vessels. A QRS scoring system was used to estimate myocardial infarct size. Patients with ST depression had more multivessel disease compared to patients with no ST depression (53% vs 6%, p<0.01), more left anterior descending stenoses (36% vs 10% p<0.05), and higher QRS scores (5.8 ± 3.2 vs 2.6 ± 1.8, p < 0.01) indicating larger infarcts. Patients with ST depression and one-vessel disease (47%) still had higher QRS scores compared to patients with no ST depression (4.8 ± 2.9 vs 2.6 ± 1.8, p < 0.001) and had an increased prevalence of infarct-related vessels with a terminal branch supplying the left ventricular lateral wall or apex. We conclude that anterolateral ST depression during inferior AMI may indicate the presence of additionally stenosed vessels or that the infarct-related vessel has a large vascular territory. The absence of ST depression virtually precludes multivessel disease." @default.
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- W2169593852 date "1984-06-01" @default.
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- W2169593852 title "Anterolateral ST segment depression in acute inferior myocardial infarction: Angiographic and clinical implications" @default.
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- W2169593852 doi "https://doi.org/10.1016/0002-8703(84)90274-6" @default.
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