Skip to main content

Electrocardiographic Diagnostic Dilemmas in Myocardial Ischemia and Infarction

  • Chapter
What’s New in Electrocardiography

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Sodi-Pallares D, et al: The activation of the interventricular septum. Am Heart J 41:569, 1951.

    Article  PubMed  CAS  Google Scholar 

  2. Scher AM, Young AC: The pathway of ventricular depolarization in the dog. Circ Res 4:461, 1965.

    Google Scholar 

  3. Durrer D, et al: Total excitation of the human heart. Circulation 41:895, 1970.

    Google Scholar 

  4. Samson WE, Scher AM: Mechanism of S-T segment alteration during acute myocardial injury. Circ Res 8:780, 1960.

    PubMed  CAS  Google Scholar 

  5. van Dam RT, Durrer D: The T wave and ventricular repolarization. Am J Cardiol 14:294, 1964.

    Article  Google Scholar 

  6. 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.

    Google Scholar 

  7. Mandel WJ, et al: Analysis of T wave abnormalities associated with myocardial infarction using a theoretic model. Circulation 38:178, 1968.

    PubMed  CAS  Google Scholar 

  8. 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.

    PubMed  Google Scholar 

  9. Dressler W, Roesler H: Electrocardiographic changes in funnel chest. Am Heart J 40:877, 1950.

    Article  PubMed  CAS  Google Scholar 

  10. Perloff JK: The clinical recognition of congenital heart disease. Philadelphia, WB Saunders, 1970.

    Google Scholar 

  11. Broadbent JC, et al: Congenital deficiency of the pericardium. Dis Chest 50:237, 1966.

    Article  PubMed  CAS  Google Scholar 

  12. Giknis FL: The electrocardiogram in spontaneous pneumothorax. JAMA 199:183, 1967.

    Article  Google Scholar 

  13. Nora TR, Pilz CG: Pseudoinfarction pattern associated with electrolyte disturbance. Arch Intern Med 104:300, 1959.

    CAS  Google Scholar 

  14. Harthorne JW, et al: Traumatic myocardial infarction: report of a Case with normal coronary arteriogram. Ann Intern Med 66:341, 1967.

    PubMed  CAS  Google Scholar 

  15. Resnekov L: Present status of electroversion in the management of cardiac dysrhythmias. Circulation 47:1356, 1973.

    PubMed  CAS  Google Scholar 

  16. DeLeon AC, et al: Distinctive electrocardiogram of Duchenne’s progressive muscular dystrophy: an Electrocardiographic-pathologic correlative study. Am J Med 42:179, 1967.

    Article  Google Scholar 

  17. Buja LM, Khoi NB, Roberts WC: Clinically significant cardiac amyloidosis: clinicopathologic findings in fifteen patients. Am Heart J 26:394, 1970.

    CAS  Google Scholar 

  18. Tugan SK, Mau RD, Schwartz MJ: Anterior myocardial infarction patterns in the mitral valve prolapse -systolic click syndrome. Am Heart J 58:719, 1975.

    Google Scholar 

  19. Myers GB, et al: Normal variations in multiple precordial leads. Am Heart J 34:785, 1947.

    Article  PubMed  CAS  Google Scholar 

  20. Spodick DH: Differential characteristics of the electrocardiogram in early repolarization and acute * pericarditis. N Engl J Med 295:523, 1976.

    Article  PubMed  CAS  Google Scholar 

  21. Clements SD, Huest JW: Diagnostic value of electrocardiographic abnormalities observed in subjects accidentally exposed to cold. Am J Cardiol 29:729, 1972.

    Article  PubMed  Google Scholar 

  22. Osborn JJ: Experimental hypothermia: respiratory and blood pH changes in relation to cardiac function. Am J Physiol 175:389, 1953.

    PubMed  CAS  Google Scholar 

  23. Surawicz B: Quantitative study of the electrocardiographic pattern of hypokalemia. Circulation 16:750, 1957.

    PubMed  CAS  Google Scholar 

  24. Biberman L, Sarma RN, Surawicz B: T-wave abnormalities during hyperventilation and isoproterenol infusion. Am Heart J 8L 166, 1977.

    Google Scholar 

  25. Yu PNG, Yim BJB, Stanfiels CA: Hyperventilation syndrome. Arch Intern Med 103:902, 1959.

    CAS  Google Scholar 

  26. Campbell M: Inversion of T waves after long paroxysm of tachycardia. Br Heart J 4:49, 1942.

    Article  PubMed  CAS  Google Scholar 

  27. Burch GE, Meyers R, Abildskov JA: A new electrocardiographic pattern observed in cerebrovascular accidents. Circulation 9:719, 1954.

    PubMed  CAS  Google Scholar 

  28. Abildskov JA, et al: The electrocardiogram and the central nervous system. Prog Cardiovasc Dis 13:210, 1970.

    Article  PubMed  CAS  Google Scholar 

  29. Chatterjee K, et al: T wave changes after artificial pacing. Lancet 1:759, 1969.

    Article  PubMed  CAS  Google Scholar 

  30. 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.

    Article  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints 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

Publish with us

Policies and ethics