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Medicinski časopis
2014, vol. 48, br. 2, str. 104-107
jezik rada: srpski
vrsta rada: članak
doi:10.5937/mckg48-4068
Dijagnostički i prognostički značaj aVR odvoda u elektrokardiogramu
aUniverzitet u Novom Sadu, Medicinski fakultet, Institut za kardiovaskularne bolesti
bInstitut za plućne bolesti, Sremska Kamenica

e-adresa: ivanovigor05@gmail.com

Sažetak

Prilikom interpretacije elektrokardiograma aVR odvod je često zapostavljen iako daje značajne dijagnostičke i prognostičke mogućnosti. Ovaj odvod direktno gleda u gornju desnu stranu srca i obezbeđuje specifične informacije koje se odnose na izlazni trakt desne komore i bazalni deo interventrikularnog septuma. Ovaj deo septuma najčešće se ishranjuje iz septalnih grana proksimalnog dela RIA. Zato, prema podacima iz literature, elevacija ST segmenta ≥ 1 u aVR odvodu tokom akutnog koronarnog događaja može ukazivati na okluziju glavnog stabla leve koronarne arterije, okluziju proksimalnog segmenta RIA ili tešku trosudovnu koronanu bolest. To može da pomogne dijagnostici, ali i pravilnoj terapiji kod ovakvih bolesnika.

Ključne reči

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