Abstract
Since Einthoven’s description of the electrocardiogram, the utility of this diagnostic tool has increased rapidly as clinical experience has spread. Nevertheless, the electrophysiologic basis of the normal human electrocardiogram has lagged far behind the clinical expansion of the ECG. Description of normal phenomenon and abnormal rhythms was rapidly forthcoming but it has been only after many decades of use that the clinician has become increasingly aware of some of the pitfalls and diagnostic dilemmas which present themselves as electrocardiographic problems. This chapter deals specifically with the potential difficulties that the clinician might observe in the electrocardiographic assessment of myocardial infarction.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Sodi-Pallares D, et al: The activation of the interventricular septum. Am Heart J 41:569, 1951.
Scher AM, Young AC: The pathway of ventricular depolarization in the dog. Circ Res 4:461, 1965.
Durrer D, et al: Total excitation of the human heart. Circulation 41:895, 1970.
Samson WE, Scher AM: Mechanism of S-T segment alteration during acute myocardial injury. Circ Res 8:780, 1960.
van Dam RT, Durrer D: The T wave and ventricular repolarization. Am J Cardiol 14:294, 1964.
Toyoshima H, et al: The nature of normal and abnormal electrocardiograms. VOL Relation of ST segment and T wave changes to intracellular potentials. Arch Intern Med 1 15:4, 1965.
Mandel WJ, et al: Analysis of T wave abnormalities associated with myocardial infarction using a theoretic model. Circulation 38:178, 1968.
Kléber AG, et al: Mechanisms and time course of ST-T and T-segment changes during acute regional ischemia in the pig heart. Circ Res 42:603, 1978.
Dressler W, Roesler H: Electrocardiographic changes in funnel chest. Am Heart J 40:877, 1950.
Perloff JK: The clinical recognition of congenital heart disease. Philadelphia, WB Saunders, 1970.
Broadbent JC, et al: Congenital deficiency of the pericardium. Dis Chest 50:237, 1966.
Giknis FL: The electrocardiogram in spontaneous pneumothorax. JAMA 199:183, 1967.
Nora TR, Pilz CG: Pseudoinfarction pattern associated with electrolyte disturbance. Arch Intern Med 104:300, 1959.
Harthorne JW, et al: Traumatic myocardial infarction: report of a Case with normal coronary arteriogram. Ann Intern Med 66:341, 1967.
Resnekov L: Present status of electroversion in the management of cardiac dysrhythmias. Circulation 47:1356, 1973.
DeLeon AC, et al: Distinctive electrocardiogram of Duchenne’s progressive muscular dystrophy: an Electrocardiographic-pathologic correlative study. Am J Med 42:179, 1967.
Buja LM, Khoi NB, Roberts WC: Clinically significant cardiac amyloidosis: clinicopathologic findings in fifteen patients. Am Heart J 26:394, 1970.
Tugan SK, Mau RD, Schwartz MJ: Anterior myocardial infarction patterns in the mitral valve prolapse -systolic click syndrome. Am Heart J 58:719, 1975.
Myers GB, et al: Normal variations in multiple precordial leads. Am Heart J 34:785, 1947.
Spodick DH: Differential characteristics of the electrocardiogram in early repolarization and acute * pericarditis. N Engl J Med 295:523, 1976.
Clements SD, Huest JW: Diagnostic value of electrocardiographic abnormalities observed in subjects accidentally exposed to cold. Am J Cardiol 29:729, 1972.
Osborn JJ: Experimental hypothermia: respiratory and blood pH changes in relation to cardiac function. Am J Physiol 175:389, 1953.
Surawicz B: Quantitative study of the electrocardiographic pattern of hypokalemia. Circulation 16:750, 1957.
Biberman L, Sarma RN, Surawicz B: T-wave abnormalities during hyperventilation and isoproterenol infusion. Am Heart J 8L 166, 1977.
Yu PNG, Yim BJB, Stanfiels CA: Hyperventilation syndrome. Arch Intern Med 103:902, 1959.
Campbell M: Inversion of T waves after long paroxysm of tachycardia. Br Heart J 4:49, 1942.
Burch GE, Meyers R, Abildskov JA: A new electrocardiographic pattern observed in cerebrovascular accidents. Circulation 9:719, 1954.
Abildskov JA, et al: The electrocardiogram and the central nervous system. Prog Cardiovasc Dis 13:210, 1970.
Chatterjee K, et al: T wave changes after artificial pacing. Lancet 1:759, 1969.
Wellins HJJ, Bär FW, Gorgels AP, Vanag GE: Use of Ajmaline in patients with the Wolff-Parkinson-White syndrome to disclose short refractory period of the accessory pathway. Am J Cardiol 45:130, 1980.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1981 Martinus Nijhoff Publishers, The Hague
About this chapter
Cite this chapter
Mandel, W.J., Peter, C.T., Hoffman, I. (1981). Electrocardiographic Diagnostic Dilemmas in Myocardial Ischemia and Infarction. In: Wellens, H.J.J., Kulbertus, H.E. (eds) What’s New in Electrocardiography. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-8239-0_4
Download citation
DOI: https://doi.org/10.1007/978-94-009-8239-0_4
Publisher Name: Springer, Dordrecht
Print ISBN: 978-90-247-2452-9
Online ISBN: 978-94-009-8239-0
eBook Packages: Springer Book Archive