Abstract
In 4 patients with recent anterior wall myocardial infarction involving the ventricular septum, bipolar right ventricular apical stimulation resulted in small negative deflections preceding larger R waves (St-qR pattern) in leads I, aVL, and (except for Case 3) V6. Abnormal ST segment elevation after St-qR pattern was noted in only 2 cases. The presence or absence of repolarization changes probably reflected the stage of infarction during which electrocardiograms were obtained. The mechanisms of these changes are similar to those responsible for the qR morphology in left bundle branch block complicated by septal infarction, as shown by the case in which both patterns were seen during spontaneous left bundle-branch block as well as during right ventricular stimulation. The St-qR pattern may not be recorded when the ventricular complexes are distorted by large spikes (as when unipolar pacing is used) or when stimulation is performed from the upper portion of the right septal surface, an area to which the infarction does not extend.
| Original language | English |
|---|---|
| Pages (from-to) | 1161-1165 |
| Number of pages | 5 |
| Journal | Heart |
| Volume | 35 |
| Issue number | 11 |
| DOIs | |
| State | Published - Jan 1 1973 |
Fingerprint
ASJC Scopus subject areas
- Gastroenterology
- Cardiology and Cardiovascular Medicine
Cite this
St-qR pattern : New sign for diagnosis of anterior myocardial infarction during right ventricular pacing. / Castellanos, Agustin; Zoble, Robert; Procacci, Pat M.; Myerburg, Robert J; Berkovits, Barouh V.
In: Heart, Vol. 35, No. 11, 01.01.1973, p. 1161-1165.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - St-qR pattern
T2 - New sign for diagnosis of anterior myocardial infarction during right ventricular pacing
AU - Castellanos, Agustin
AU - Zoble, Robert
AU - Procacci, Pat M.
AU - Myerburg, Robert J
AU - Berkovits, Barouh V.
PY - 1973/1/1
Y1 - 1973/1/1
N2 - In 4 patients with recent anterior wall myocardial infarction involving the ventricular septum, bipolar right ventricular apical stimulation resulted in small negative deflections preceding larger R waves (St-qR pattern) in leads I, aVL, and (except for Case 3) V6. Abnormal ST segment elevation after St-qR pattern was noted in only 2 cases. The presence or absence of repolarization changes probably reflected the stage of infarction during which electrocardiograms were obtained. The mechanisms of these changes are similar to those responsible for the qR morphology in left bundle branch block complicated by septal infarction, as shown by the case in which both patterns were seen during spontaneous left bundle-branch block as well as during right ventricular stimulation. The St-qR pattern may not be recorded when the ventricular complexes are distorted by large spikes (as when unipolar pacing is used) or when stimulation is performed from the upper portion of the right septal surface, an area to which the infarction does not extend.
AB - In 4 patients with recent anterior wall myocardial infarction involving the ventricular septum, bipolar right ventricular apical stimulation resulted in small negative deflections preceding larger R waves (St-qR pattern) in leads I, aVL, and (except for Case 3) V6. Abnormal ST segment elevation after St-qR pattern was noted in only 2 cases. The presence or absence of repolarization changes probably reflected the stage of infarction during which electrocardiograms were obtained. The mechanisms of these changes are similar to those responsible for the qR morphology in left bundle branch block complicated by septal infarction, as shown by the case in which both patterns were seen during spontaneous left bundle-branch block as well as during right ventricular stimulation. The St-qR pattern may not be recorded when the ventricular complexes are distorted by large spikes (as when unipolar pacing is used) or when stimulation is performed from the upper portion of the right septal surface, an area to which the infarction does not extend.
UR - http://www.scopus.com/inward/record.url?scp=0015843517&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0015843517&partnerID=8YFLogxK
U2 - 10.1136/hrt.35.11.1161
DO - 10.1136/hrt.35.11.1161
M3 - Article
C2 - 4761118
AN - SCOPUS:0015843517
VL - 35
SP - 1161
EP - 1165
JO - Heart
JF - Heart
SN - 1355-6037
IS - 11
ER -