Journal of electrocardiology
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Randomized Controlled Trial
Factors associated with failure to identify the culprit artery by the electrocardiogram in inferior ST-elevation myocardial infarction.
Right and left circumflex coronary artery occlusions cause inferior myocardial infarction. To improve the targeting of diagnostic and therapeutic measures individually, factors interfering with identification of the culprit artery by the electrocardiogram (ECG) were explored. ⋯ Left coronary artery dominance, multivessel disease, and absence of ECG signs of proximal culprit lesion are associated with failure to predict the culprit artery of inferior myocardial infarction by the 12-lead ECG.