New electrocardiographic diagnostic criteria for the pathologic R waves in leads V1 and V2 of anatomically lateral myocardial infarction

(1) New ECG criteria for lateral MI (R/S ratio in V1 ≥0.5 and R amplitude in V1 >3 mm) present very high specificity and lower but very acceptable sensitivity for lateral MI. (2) New criteria based on R waves in V2 or T waves in V1 to V2 do not discriminate between inferior and lateral MI. (3) The classical criteria (R/S amplitude ratio ≥1 and R duration ≥40 ms in V1) attain very high specificity but much lower sensitivity than the new criteria.