Lead-Reversal ECG Simulating Myocardial Infarction – A Case Report and Literature Review

Author:

Amin Mohammad Gaffar,Chowdhury Abdul Wadud,Ahmed Mohsin,Sabah Khandker Md Nurus,Haque Hasna Fahmima,Kabir Syed Rezwan,Islam Kazi Nazrul,Saleh Mohammad Abaye Deen

Abstract

Electrocardiogram (ECG) is one of the most important and time-tested tool for appropriate interpretation and diagnosis of coronary artery disease (CAD) and other structural & electrical cardiac abnormalities. Erroneous misplacement of surface ECG-leads (lead reversal) may result in wrong interpretation as well as unnecessary investigations, admission to hospital and improper treatment. Early & prompt recognition of lead-reversal is imperative to avoid inappropriate & harmful therapeutic interventions to the patients. This casereport focuses on an interesting scenario of ECG-lead misplacement, which will aid in detection, exclusion and further prevention of ECG lead misplacement.Bangladesh Heart Journal 2016; 31(2) : 104-108

Publisher

Bangladesh Journals Online (JOL)

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