The role of right sided Electrocardiography in the diagnosis of Ischemic heart disease

Abstract

The use of right sided ECG leads in stable patients with normal ECG had been less well studied and the picture appears hazy regarding its use. The aim is to assess the role of right sided V4 in the investigation of myocardial ischemia. This is a cross sectional study extended over the period of five years from the first of January 2005 to the first of January 2010 and involve 5633 patients.The Sensitivity of the right V4 lead for detection of ischemia was The specificity of the right V4 lead for detection of
ischemia was =99.95%. The present study show that V4R has extremely low sensitivity for detection of ischemia in stable patients with ischemic heart disease who had normal resting 121eads ECG, but it has a very high specificity for detection of ischemia.