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New Posterior Wall Myocardial Infarction by ECG Finding

MedGen UID:
821570
•Concept ID:
C3828822
•
Finding
Synonym: New Posterior Wall Myocardial Infarction by EKG Finding

Definition

An electrocardiographic finding in leads V1 or V2 of an initial R wave duration greater than or equal to 40 ms, R wave greater than S wave, and upright T wave, which is suggestive of myocardial infarction of the posterior wall of the left ventricle, and which is new compared to prior ECGs. Evidence of inferior or lateral myocardial infarction is usually also present. (CDISC) [from NCI]

Professional guidelines

PubMed

New electrocardiographic criteria for posterior wall acute myocardial ischemia validated by a percutaneous transluminal coronary angioplasty model of acute myocardial infarction.
Wung SF, Drew BJ
Am J Cardiol 2001 Apr 15;87(8):970-4; A4. doi: 10.1016/s0002-9149(01)01431-x. PMID: 11305988

Recent clinical studies

Etiology

A haemodynamic study during OPCAB surgery using a new multi-suction cardiac positioner.
Abicht JM, Bauer A, Christ F, Vicol C
Thorac Cardiovasc Surg 2011 Jun;59(4):217-21. Epub 2011 Mar 15 doi: 10.1055/s-0030-1250479. PMID: 21409749
Difference in systolic motion velocity of the left ventricular posterior wall in patients with asymmetric septal hypertrophy and prior anteroseptal myocardial infarction. Evaluation by pulsed tissue Doppler imaging.
Oki T, Tabata T, Yamada H, Manabe K, Fukuda K, Abe M, Onose Y, Iuchi A, Fukuda N, Ito S
Jpn Heart J 1998 Mar;39(2):163-72. doi: 10.1536/ihj.39.163. PMID: 9687825
Clinical significance of perioperative Q-wave myocardial infarction: the Emory Angioplasty versus Surgery Trial.
Hodakowski GT, Craver JM, Jones EL, King SB 3rd, Guyton RA
J Thorac Cardiovasc Surg 1996 Dec;112(6):1447-53; discussion 1453-4. doi: 10.1016/S0022-5223(96)70002-8. PMID: 8975835
Automatic implantable cardioverter/defibrillator discharges and acute myocardial injury.
Avitall B, Port S, Gal R, McKinnie J, Tchou P, Jazayeri M, Troup P, Akhtar M
Circulation 1990 May;81(5):1482-7. doi: 10.1161/01.cir.81.5.1482. PMID: 2158864
A new electrocardiographic classification for post-myocardial infarction clinical trials.
Greenberg H, Gillespie J, Dwyer EM Jr
Am J Cardiol 1987 May 1;59(12):1057-63. doi: 10.1016/0002-9149(87)90848-4. PMID: 3578044

Diagnosis

A haemodynamic study during OPCAB surgery using a new multi-suction cardiac positioner.
Abicht JM, Bauer A, Christ F, Vicol C
Thorac Cardiovasc Surg 2011 Jun;59(4):217-21. Epub 2011 Mar 15 doi: 10.1055/s-0030-1250479. PMID: 21409749
New electrocardiographic criteria for posterior wall acute myocardial ischemia validated by a percutaneous transluminal coronary angioplasty model of acute myocardial infarction.
Wung SF, Drew BJ
Am J Cardiol 2001 Apr 15;87(8):970-4; A4. doi: 10.1016/s0002-9149(01)01431-x. PMID: 11305988
Improved detection of posterior myocardial wall ischemia with the 15-lead electrocardiogram.
Khaw K, Moreyra AE, Tannenbaum AK, Hosler MN, Brewer TJ, Agarwal JB
Am Heart J 1999 Nov;138(5 Pt 1):934-40. doi: 10.1016/s0002-8703(99)70020-7. PMID: 10539826
Analysis of transmural trend of myocardial integrated ultrasonic backscatter in patients with old myocardial infarction.
Naito J, Masuyama T, Mano T, Kondo H, Yamamoto K, Nagano R, Inoue M, Hori M
Ultrasound Med Biol 1996;22(7):807-14. doi: 10.1016/0301-5629(96)00088-9. PMID: 8923700
Diagnosis of right ventricular acute myocardial infarction by dual isotope thallium-201 and indium-111 antimyosin SPECT imaging.
Antunes ML, Johnson LL, Seldin DW, Bhatia K, Tresgallo ME, Greenspan RL, Vaccarino RA, Rodney RA
Am J Cardiol 1992 Aug 15;70(4):426-31. doi: 10.1016/0002-9149(92)91184-6. PMID: 1642178

Therapy

Prompt Recognition of Left Ventricular Free-Wall Rupture Aided by the Use of Contrast Echocardiography.
Okabe T, Julien HM, Kaliyadan AG, Siu H, Marhefka GD
Tex Heart Inst J 2015 Oct;42(5):474-8. Epub 2015 Oct 1 doi: 10.14503/THIJ-14-4447. PMID: 26504446Free PMC Article
A haemodynamic study during OPCAB surgery using a new multi-suction cardiac positioner.
Abicht JM, Bauer A, Christ F, Vicol C
Thorac Cardiovasc Surg 2011 Jun;59(4):217-21. Epub 2011 Mar 15 doi: 10.1055/s-0030-1250479. PMID: 21409749
Clinical significance of perioperative Q-wave myocardial infarction: the Emory Angioplasty versus Surgery Trial.
Hodakowski GT, Craver JM, Jones EL, King SB 3rd, Guyton RA
J Thorac Cardiovasc Surg 1996 Dec;112(6):1447-53; discussion 1453-4. doi: 10.1016/S0022-5223(96)70002-8. PMID: 8975835
Automatic implantable cardioverter/defibrillator discharges and acute myocardial injury.
Avitall B, Port S, Gal R, McKinnie J, Tchou P, Jazayeri M, Troup P, Akhtar M
Circulation 1990 May;81(5):1482-7. doi: 10.1161/01.cir.81.5.1482. PMID: 2158864
A new electrocardiographic classification for post-myocardial infarction clinical trials.
Greenberg H, Gillespie J, Dwyer EM Jr
Am J Cardiol 1987 May 1;59(12):1057-63. doi: 10.1016/0002-9149(87)90848-4. PMID: 3578044

Prognosis

Prompt Recognition of Left Ventricular Free-Wall Rupture Aided by the Use of Contrast Echocardiography.
Okabe T, Julien HM, Kaliyadan AG, Siu H, Marhefka GD
Tex Heart Inst J 2015 Oct;42(5):474-8. Epub 2015 Oct 1 doi: 10.14503/THIJ-14-4447. PMID: 26504446Free PMC Article
New infarct exclusion repair using cohesive double-patch closer.
Takahashi S, Uchida N, Imai K, Sueda T
Interact Cardiovasc Thorac Surg 2012 Mar;14(3):353-5. Epub 2011 Dec 18 doi: 10.1093/icvts/ivr120. PMID: 22184468Free PMC Article
Clinical significance of perioperative Q-wave myocardial infarction: the Emory Angioplasty versus Surgery Trial.
Hodakowski GT, Craver JM, Jones EL, King SB 3rd, Guyton RA
J Thorac Cardiovasc Surg 1996 Dec;112(6):1447-53; discussion 1453-4. doi: 10.1016/S0022-5223(96)70002-8. PMID: 8975835
A new electrocardiographic classification for post-myocardial infarction clinical trials.
Greenberg H, Gillespie J, Dwyer EM Jr
Am J Cardiol 1987 May 1;59(12):1057-63. doi: 10.1016/0002-9149(87)90848-4. PMID: 3578044
Electrocardiographic diagnosis of posterior myocardial infarction revisited: a new approach using a multivariate discriminant analysis and thallium-201 myocardial scintigraphy.
Nestico PF, Hakki AH, Iskandrian AS, Anderson GJ
J Electrocardiol 1986 Jan;19(1):33-40. doi: 10.1016/s0022-0736(86)80005-x. PMID: 3805957

Clinical prediction guides

A haemodynamic study during OPCAB surgery using a new multi-suction cardiac positioner.
Abicht JM, Bauer A, Christ F, Vicol C
Thorac Cardiovasc Surg 2011 Jun;59(4):217-21. Epub 2011 Mar 15 doi: 10.1055/s-0030-1250479. PMID: 21409749
New electrocardiographic criteria for posterior wall acute myocardial ischemia validated by a percutaneous transluminal coronary angioplasty model of acute myocardial infarction.
Wung SF, Drew BJ
Am J Cardiol 2001 Apr 15;87(8):970-4; A4. doi: 10.1016/s0002-9149(01)01431-x. PMID: 11305988
Analysis of transmural trend of myocardial integrated ultrasonic backscatter in patients with old myocardial infarction.
Naito J, Masuyama T, Mano T, Kondo H, Yamamoto K, Nagano R, Inoue M, Hori M
Ultrasound Med Biol 1996;22(7):807-14. doi: 10.1016/0301-5629(96)00088-9. PMID: 8923700
Diagnosis of right ventricular acute myocardial infarction by dual isotope thallium-201 and indium-111 antimyosin SPECT imaging.
Antunes ML, Johnson LL, Seldin DW, Bhatia K, Tresgallo ME, Greenspan RL, Vaccarino RA, Rodney RA
Am J Cardiol 1992 Aug 15;70(4):426-31. doi: 10.1016/0002-9149(92)91184-6. PMID: 1642178
A new electrocardiographic classification for post-myocardial infarction clinical trials.
Greenberg H, Gillespie J, Dwyer EM Jr
Am J Cardiol 1987 May 1;59(12):1057-63. doi: 10.1016/0002-9149(87)90848-4. PMID: 3578044

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