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  • Title: Electrocardiographic diagnosis of right ventricular infarction in the presence of left ventricular posterior infarction.
    Author: Mittal SR, Jain S.
    Journal: Int J Cardiol; 1999 Jan; 68(1):125-8. PubMed ID: 10077410.
    Abstract:
    Conventional criteria of ST segment elevation in right sided chest leads or loss of initial 'r' wave in leads V3R or V4R have low sensitivity and specificity in diagnosing right ventricular involvement in the presence of left ventricular posterior infarction. Slurring of R wave either in right sided chest leads or in lead aVR can diagnose right ventricular involvement in such a setting with a sensitivity of 70% and specificity of 94%.
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