DIJAGNOSTIČKI I PROGNOSTIČKI ZNAČAJ aVR ODVODA U ELEKTROKARDIOGRAMU

Igor Ivanov; Milana Jaraković; Jadranka Dejanović; Milovan Petrović; Ilija Srdanović; Dušanka Obradović

doi:10.5937/mckg48-4068

Igor Ivanov Institut za kardiovaskularne bolesti Vojvodine, Sremska Kamenica
Milana Jaraković Institut za kardiovaskularne bolesti Vojvodine, Sremska Kamenica
Jadranka Dejanović Institut za kardiovaskularne bolesti Vojvodine, Sremska Kamenica
Milovan Petrović Institut za kardiovaskularne bolesti Vojvodine, Sremska Kamenica
Ilija Srdanović Institut za kardiovaskularne bolesti Vojvodine, Sremska Kamenica
Dušanka Obradović Klinika za urgentnu pulmologiju, Institut za plućne bolesti Vojvodine, Sremska Kamenica, Srbija

DOI: https://doi.org/10.5937/mckg48-4068

Abstract

Prilikom interpretacije elektrokardiograma aVR odvod je često zapostavljen iako daje značajne dijagnostičke i prognostičke mogućnosti. Ovaj odvod direktno gleda u gornju desnu stranu srca i obezbeđuje specifične informacije koje se odnose na izlazni trakt desne komore i bazalni deo interventrikularnog septuma. Ovaj deo septuma se najčešće ishranjuje iz septalnih grana proksimalnog dela RIA. Zbog ovoga prema literaturnim podacima elevacija ST segmenta ≥ 1 u aVR odvodu tokom akutnog koronarnog događaja može ukazivati na okluziju glavnog stabla leve koronarne arterije, okluziju proksimalnog segmenta RIA ili tešku trosudovnu koronanu bolest. Ovo može da pomogne dijagnostici ali i pravilnoj terapiji kod ovakvih bolesnika. U našem radu ukazali smo na značaj aVR odvoda kroz pregled literture.

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