Document Detail

Limitations of electrocardiography in the diagnosis of acute myocardial infarction--comparison with two-dimensional echocardiography.
MedLine Citation:
PMID:  8774964     Owner:  NLM     Status:  MEDLINE    
In order to assess the sensitivity of the initial electrocardiogram (ECG) in diagnosing the first attack of acute myocardial infarction (AMI), we compared the findings on ECG and two-dimensional echocardiogram (2-D echo) in 74 patients with single vessel coronary artery disease. Group A consisted of 41 patients with infero-posterior AMI while group B consisted of 33 patients with antero-septal AMI. In group A, 12 patients showed normal ECGs, while 2-D echo failed to reveal abnormal left ventricular wall motion in only 2 patients. In those two patients, the quality of the echocardiogram was poor. In group B, only one patient showed a normal ECG, and all patients showed abnormal left ventricular wall motion on 2-D echo. We conclude that electrocardiography has limitations in diagnosing infero-posterior myocardial infarction especially during the acute phase, but 2-D echo is an additional useful diagnostic procedure.
C Izumi; K Iga; T Kijima; Y Himura; H Gen; T Konishi
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Internal medicine (Tokyo, Japan)     Volume:  34     ISSN:  0918-2918     ISO Abbreviation:  Intern. Med.     Publication Date:  1995 Nov 
Date Detail:
Created Date:  1996-12-04     Completed Date:  1996-12-04     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9204241     Medline TA:  Intern Med     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  1061-3     Citation Subset:  IM    
Department of Cardiology, Tenri Hospital.
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MeSH Terms
Middle Aged
Myocardial Infarction / physiopathology*,  ultrasonography*
Retrospective Studies
Sensitivity and Specificity

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