Purpose: The objective of this study was to assess the involvement and extent of lateral wall myocardial infarction (MI) in patients with a first nonanterior wall MI, as reflected by changes in precordial leads. Delayed enhancement cardiac magnetic resonance imaging was used as a gold standard to localize and quantify myocardial scar tissue.
Methods: Electrocardiogram and cardiac magnetic resonance were studied in 56 patients. Areas involved were related to QRS changes in precordial leads.
Results: Significant correlations were found between lateral wall involvement and R waves in V(1) and V(6) (P = 0.009-0.022). For patients with circumflex branch occlusions, the MI size of the apical and lateral segments correlated strongly with the characteristics of R waves in V(1) and V(2) (P = 0.001-0.034).
Conclusions: Tall and broad R waves in V(1) reflect lateral wall MI, especially in circumflex occlusions.
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