Document Detail


New Q waves do not always a new infarct spell: right bundle branch block-dependent Q waves simulating infarct extension.
MedLine Citation:
PMID:  9589192     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We present the electrocardiograms of three patients, representative of 14, with acute anterior wall infarction in whom, in contrast to current understanding, the appearance of right bundle branch block was associated with a shift of the initial vector of depolarization that resulted in 'new' Q waves in V1-V2 that mimicked extension of necrosis. This little-known electrocardiographic phenomenon should be kept in mind when consideration is given to attempts at reperfusion.
Authors:
H O Klein; D David
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Coronary artery disease     Volume:  9     ISSN:  0954-6928     ISO Abbreviation:  Coron. Artery Dis.     Publication Date:  1998  
Date Detail:
Created Date:  1998-07-09     Completed Date:  1998-07-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9011445     Medline TA:  Coron Artery Dis     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  51-4     Citation Subset:  IM    
Affiliation:
Meir General Hospital, Sapir Medical Center, Kfar-Saba, Israel.
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MeSH Terms
Descriptor/Qualifier:
Aged
Bundle-Branch Block / diagnosis*
Electrocardiography*
Female
Humans
Male
Myocardial Infarction / diagnosis*,  therapy
Myocardial Reperfusion

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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