The early recognition of right ventricular infarction: Diagnostic accuracy of the electrocardiographic V4R lead

H. O. Klein, T. Tordjman, R. Ninio, P. Sareli, V. Oren, R. Lang, J. Gefen, C. Pauzner, E. Di Segni, D. David, E. Kaplinsky

Research output: Contribution to journalArticlepeer-review

Abstract

The sensitivity and specificity of ST-segment elevation in the right precordial lead V4R as an early indicator of right ventricular infarction were examined in a consecutive series of 100 patients admitted for acute inferior myocardial infarction. The sensitivity was 82.7%, the specificity 76.9% and the positive predictive value 70% in 58 patients with right ventricular infarction documented by autopsy or a combination of radionuclide ventriculography and one or more of the following tests: echocardiography, technetium-99m pyrophosphate scintigraphy and hemodynamic monitoring. The negative predictive value was 87.7%. Because of its simplicity and its high sensitivity and specificity, recording of V4R should be an intrinsic part of the early evaluation and electrocardiographic examination of acute inferior wall infarction.

Original languageEnglish
Pages (from-to)558-565
Number of pages8
JournalUnknown Journal
Volume67
Issue number3
DOIs
StatePublished - 1983

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