Naveed Akhtar, Uzma Bashir, Waqas Ahmed, Syed Mumtaz Ali Shah.
Diagnostic and therapeutic implications of ST-segment elevation in lead aVR of 12 lead ECG during chest pain.
J Ayub Med Coll Abottabad Jan ;17(2):82-4.

`aVR` is usually not the preferred lead to diagnose myocardial infarction in clinical settings, it is rather a neglected lead in this context. We describe the case of a 44 year old male who presented with short duration chest pain and ST segment elevation in lead `aVR`. His left heart catheterization showed left main stem equivalent disease and totally occluded right coronary artery. Patient underwent emergency coronary artery bypass-grafting with favorable outcome. This case highlights the significance of ST segment elevation in lead aVR during chest pain both in diagnosis and management of patients with acute coronary syndrome.

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