False ST elevation in a modified 12-lead surface electrocardiogram.

Abstract:

:Precise recording of the standard 12-lead electrocardiogram (ECG) is technically time consuming. Placing limb leads on the torso has the major advantages of ease of use, increased speed of application, and decreased artifact. This modified ECG frequently substitutes for the standard 12-lead ECG in intensive care units to detect ischemia, although its implementation should be limited to interpreting arrhythmias. We describe a patient who was misdiagnosed with acute inferior myocardial infarction in a modified 12-lead ECG. To the best of our knowledge, this is the first case report regarding detection of false ST elevations in this setting. Always, a standard 12-lead ECG is recommended to evaluate any ST-T changes.

journal_name

J Electrocardiol

authors

Toosi MS,Sochanski MT

doi

10.1016/j.jelectrocard.2007.11.004

subject

Has Abstract

pub_date

2008-05-01 00:00:00

pages

197-201

issue

3

eissn

0022-0736

issn

1532-8430

pii

S0022-0736(07)00921-1

journal_volume

41

pub_type

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