Incidence and significance of the low-voltage electrocardiogram in acute myocardial infarction. | |
MedLine Citation:
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PMID: 140788 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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In a retrospective study of 304 patients with acute transmural myocardial infarction admitted to the coronary care unit, 22 percent (67 patients) exhibited low voltage on their electrocardiograms within 72 hours of admission. The course of hospitalization of these patients was compared with an equal number of consecutive patients with transmural infarctions and normal electrocardiographic voltages. Among the patients with low voltage, there was a significantly higher incidence of previous infarction or present extensive infarction, congestive heart failure, and cardiogenic shock. This group of patients also demonstrated a markedly higher mortality. This study substantiates the clinical impression that acute myocardial infarction complicated by a low-voltage ECG implies a poor prognosis. It is speculated that this electrocardiographic pattern may reflect decreased ventricular performance as a result of widespread myocardial damage. |
Authors:
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H H Rotmensch; I Meytes; R Terdiman; S Laniado |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Chest Volume: 71 ISSN: 0012-3692 ISO Abbreviation: Chest Publication Date: 1977 Jun |
Date Detail:
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Created Date: 1977-07-18 Completed Date: 1977-07-18 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0231335 Medline TA: Chest Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 708-11 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Adult Arrhythmias, Cardiac / complications Cardiomegaly / complications Electrocardiography* Female Humans Israel Male Middle Aged Myocardial Infarction / complications, mortality, physiopathology* Prognosis Pulmonary Edema / complications Retrospective Studies |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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