Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

ACUTE CARDIAC INFARCTION INVOLVING ANTERIOR AND POSTERIOR SURFACES OF LEFT VENTRICLE: ELECTROCARDIOGRAPHIC CHARACTERISTICS

ACUTE CARDIAC INFARCTION INVOLVING ANTERIOR AND POSTERIOR SURFACES OF LEFT VENTRICLE:... Abstract Twenty of our cases of acute coronary occlusion have come to necropsy during the past three years. In every instance the location of the infarct, predicted on the basis of the electrocardiogram, has been confirmed.1 This would indicate that when chest leads are used as well as limb leads the position of an acute infarct can be determined with considerable accuracy. The localizing signs of typical anterior and typical posterior lesions have been described in a previous paper.2 Moreover, the prognostic difference between the groups, mentioned in that paper, has been confirmed by further observations.1 Certain factors may confuse the observer in attempting to locate the lesion: 1. The infarct may occur in some unusual position, as in the lateral wall of the left ventricle or in the right ventricle. The localizing signs of such lesions are not definitely established as yet. 2. The patient may have References 1. Wolferth, C. C.; Wood, F. C.; Bellet, S., and Edeiken, J.: The Electrocardiographic Diagnosis of Coronary Occlusion with Chest Leads , Tr. A. Am. Physicians 49:223, 1934. 2. Wood, F. C.; Bellet, S.; McMillan, T. M., and Wolferth, C. C.: Electrocardiographic Diagnosis of Coronary Occlusion: Further Observations on the Use of Chest Leads , Arch. Int. Med. 52:752 ( (Nov.) ) 1933.Crossref 3. Wood, Bellet, McMillan and Wolferth,2 cases 3 and 33. 4. Wood, Bellet, McMillan and Wolferth.2 5. Wood, F. C., and Wolferth, C. C.: Huge T Waves in Precordial Leads in Cardiac Infarction , Am. Heart J. 9:706 ( (Aug.) ) 1934.Crossref 6. We have seen one other case,4b not included in table 1, in which there was evidence of a lesion in the posterior wall in the limb leads. Lead IV showed a huge upright T wave which we believe to be a sign of a lesion in the anterior wall. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

ACUTE CARDIAC INFARCTION INVOLVING ANTERIOR AND POSTERIOR SURFACES OF LEFT VENTRICLE: ELECTROCARDIOGRAPHIC CHARACTERISTICS

Loading next page...
 
/lp/american-medical-association/acute-cardiac-infarction-involving-anterior-and-posterior-surfaces-of-WpMMAOfDmL
Publisher
American Medical Association
Copyright
Copyright © 1935 American Medical Association. All Rights Reserved.
ISSN
0730-188X
DOI
10.1001/archinte.1935.03920010085005
Publisher site
See Article on Publisher Site

Abstract

Abstract Twenty of our cases of acute coronary occlusion have come to necropsy during the past three years. In every instance the location of the infarct, predicted on the basis of the electrocardiogram, has been confirmed.1 This would indicate that when chest leads are used as well as limb leads the position of an acute infarct can be determined with considerable accuracy. The localizing signs of typical anterior and typical posterior lesions have been described in a previous paper.2 Moreover, the prognostic difference between the groups, mentioned in that paper, has been confirmed by further observations.1 Certain factors may confuse the observer in attempting to locate the lesion: 1. The infarct may occur in some unusual position, as in the lateral wall of the left ventricle or in the right ventricle. The localizing signs of such lesions are not definitely established as yet. 2. The patient may have References 1. Wolferth, C. C.; Wood, F. C.; Bellet, S., and Edeiken, J.: The Electrocardiographic Diagnosis of Coronary Occlusion with Chest Leads , Tr. A. Am. Physicians 49:223, 1934. 2. Wood, F. C.; Bellet, S.; McMillan, T. M., and Wolferth, C. C.: Electrocardiographic Diagnosis of Coronary Occlusion: Further Observations on the Use of Chest Leads , Arch. Int. Med. 52:752 ( (Nov.) ) 1933.Crossref 3. Wood, Bellet, McMillan and Wolferth,2 cases 3 and 33. 4. Wood, Bellet, McMillan and Wolferth.2 5. Wood, F. C., and Wolferth, C. C.: Huge T Waves in Precordial Leads in Cardiac Infarction , Am. Heart J. 9:706 ( (Aug.) ) 1934.Crossref 6. We have seen one other case,4b not included in table 1, in which there was evidence of a lesion in the posterior wall in the limb leads. Lead IV showed a huge upright T wave which we believe to be a sign of a lesion in the anterior wall.

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Jul 1, 1935

References