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

  • Mohammad Gaffar Amin Assistant Professor, Department of Cardiology, Dhaka Medical College Hospital, Dhaka
  • Abdul Wadud Chowdhury Professor & Head. Department of Cardiology, Dhaka Medical College Hospital, Dhaka
  • Mohsin Ahmed Associate Professor, Department of Cardiology, Dhaka Medical College Hospital, Dhaka
  • Khandker Md Nurus Sabah Assistant Professor, Department of Cardiology, Dhaka Medical College Hospital, Dhaka
  • Hasna Fahmima Haque Registrar, Dept. of Medicine, BIRDEM, Dhaka
  • Syed Rezwan Kabir Junior Consultant, Department of Cardiology, Dhaka Medical College Hospital, Dhaka
  • Kazi Nazrul Islam Junior Consultant, Department of Cardiology, Dhaka Medical College Hospital, Dhaka
  • Mohammad Abaye Deen Saleh Registrar, Department of Cardiology, Dhaka Medical College Hospital, Dhaka
Keywords: Electrocardiogram diagnosis, Myocardial infarction

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

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Author Biography

Mohammad Gaffar Amin, Assistant Professor, Department of Cardiology, Dhaka Medical College Hospital, Dhaka


Published
2017-04-28
How to Cite
Amin, M. G., Chowdhury, A., Ahmed, M., Sabah, K., Haque, H., Kabir, S., Islam, K., & Saleh, M. A. (2017). Lead-Reversal ECG Simulating Myocardial Infarction – A Case Report and Literature Review. Bangladesh Heart Journal, 31(2), 104-108. https://doi.org/10.3329/bhj.v31i2.32382
Section
Case Reports