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European Heart Journal 1988 9(6):665-667;
Copyright © 1988 by the European Society of Cardiology.
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© 1988 The European Society of Cardiology

Maximal spatial ST vector of S-T segment elevation in the right praecordial leads on electrocardiogram due to acute pericarditis

W. CARSON

Cardiac Department, John Radcliffe Hospital, University of Oxford Headington, Oxford, U.K.

Received 17 August 1987; revised 11 November 1987; .

Dr Wangden Carson, M D., D.PH., Cardiac Department, John Radcliffe Hospital, University of Oxford, Headington, Oxford OX3 9DU, U.K.

Abstract

Three patients with acute pericarditis with S-T segment elevation in the right praecordial leads were studied by vectorcardiography. The vectorcardiographic findings suggested that, in acute pericarditis, the maximal spatial ST vector pointed to the left-anterior-inferior direction. The S-T segment elevations in the right praecordial leads in these patients were due to the large magnitude of the maximal spatial ST vector. Its magnitude indirectly caused S-T segment elevation in the right praecordial leads adjacent to it during the acute stage of pericarditis.

Key Words: ST vector • right praecordial leads • acute pericarditis


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