Electrocardiogram Recording in the Prone Position —Reply

In Reply We would like to express our gratitude to Cobos Gil et al for their thought-provoking and insightful comments on our case report, which discussed how anterior leads ST-segment elevation might be missed on the findings of an electrocardiogram (ECG) recorded in the commonly used prone position. Their comments addressed a new prone ECG acquisition method based on the concept of the mirror image electrocardiogram reported by Kors and van Herpen. The ECG acquired by this method shows morphologic findings similar to those of the standard ECG, which makes the diagnosis of arrhythmias (eg, bundle-branch block) more convenient. The comments also mention that this prone ECG acquisition method may have important diagnostic value in anterior ST-segment elevated myocardial infarction (STEMI).
Source: JAMA Internal Medicine - Category: Internal Medicine Source Type: research