ST elevation in ECG lead aVR signals severe acute left main coronary artery disease

A. Ghosh Dastidar, P. Garg, J. N. West, R. Muthusamy, J. P. Gunn*

*Corresponding author for this work

Research output: Contribution to journalArticle (Academic Journal)peer-review

1 Citation (Scopus)


Patients with suspected acute coronary syndrome are commonly assessed by acute physicians on arrival in hospital. Although most will recognise the typical ECG features of ST elevation myocardial infarction, the significance of ST elevation in lead aVR may not always be appreciated. This case series describes 6 cases in which this ECG abnormality was the predominant feature in patients whose subsequent angiogram revealed severe acute left main coronary artery disease. The importance of early referral of such patients to a centre in which percutaneous coronary intervention can be performed, is discussed.

Original languageEnglish
Pages (from-to)220-223
Number of pages4
JournalAcute Medicine
Issue number4
Publication statusPublished - 2013

Bibliographical note

Copyright 2014 Elsevier B.V., All rights reserved.


  • ACS
  • AVR
  • ECG
  • Left main stem

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