[Diagnosis of right ventricular infarct]

Abstract

The possibility of electrocardiographic diagnosis of infarction of the right ventricle is discussed. Twenty-four cases of right-ventricular myocardial infarction are cited which were diagnosed on the basis of electrocardiographic signs. In 9 cases infarction of the right ventricle was confirmed during autopsy. It is recommended that the ECG in patients with infarction of the myocardium of the posterior wall of the left ventricle is recorded in additional leads, V3R and V4R. The presence of signs of infarction on such ECGs in the absence of such signs in V1-2 leads indicates that the infarction of the posterior wall of the left ventricle has extended to the right ventricle.