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[Contribution of the AVR lead in the diagnosis of ischemic heart disease in one case at the Institute of Cardiology of Abidjan (Ivory Coast)]



Case Reports


doi: 10.11604/pamj.2022.42.311.20166.


eCollection 2022.

[Article in

French]

Affiliations

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Case Reports

[Article in

French]

Loa Ambroise Gnaba et al.


Pan Afr Med J.


.

Abstract

Abnormalities in the aVR lead would provide useful information on the risk of coronary heart disease. This clinical case is an illustration. Indeed, this is a 60-year-old patient, an active smoker and a former type 2 diabetic who presented with angina-like chest pain with a positive stress test. The initial electrocardiogram showed a discreet elevation of the ST segment and an aVR necrosis Q wave with mirror signs in the inferior territory. An ischemic heart disease with altered ventricular ejection fraction was objectified. The diagnostic coronary angiography objectified a multi-vessel coronary lesion. Ultimately, the aVR lead provides valuable clinical information and argues for special attention to this often forgotten lead.


Keywords:

aVR lead; case report; multivessel coronary artery disease.

Conflict of interest statement

Les auteurs ne déclarent aucun conflit d´intérêts.



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