[Contribution of the AVR Lead in the Diagnosis of Ischemic Heart Disease in One Case at the Institute of Cardiology of Abidjan (Ivory Coast)]

Overview

Journal Pan Afr Med J

Date 2022 Dec 1

PMID 36451985

Authors

Loa Ambroise Gnaba

Kassi Anicet Adoubi

Kouakou Florent Diby

Isabelle Kouame

Pinnin Evelyne Adjara Ouattara

Manga Diomande

Mbe Matokoma Daniogo

Keumian Gabin Tro

Koudre Serge Armel Dakoi

Aka Roland NGuetta

Affiliations

Soon will be listed here.

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.

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