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Correspondence
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Volume 331:681 September 8, 1994 Number 10
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Right Ventricular Infarction

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To the Editor: Kinch and Ryan (April 28 issue) present an excellent review of the pathogenesis, pathophysiology, diagnosis, complications, and treatment of the right ventricular infarction that commonly accompanies inferior myocardial infarction1. I would like to point out that it is not necessary to use lead V4R or any additional precordial leads to make an electrocardiographic diagnosis of right ventricular infarction if the Grant method of electrocardiographic interpretation is used. The routine 12-lead electrocardiogram is sufficient2,3,4,5.

The mean ST-segment vector is directed toward the epicardial injury that surrounds the dead zone of infarction. When the mean ST-segment vector . . . [Full Text of this Article]

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