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Posterior myocardial infarction: the dark side of the moon.
MedLine Citation:
PMID:  17612703     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
The clinical presentation of posterior myocardial infarction is not always easy, not even for the cardiologist. In this article a 70-year-old woman who presented with chest pain is described. The electrocardiogram at presentation showed marked ST-segment depression in leads V(1) to V(5) and slight ST-segment depression in leads I and aVL. There was ST-segment elevation in the posterior leads V(7) to V(9). Elevation of specific cardiac enzymes confirmed the diagnosis of myocardial infarction. True posterior myocardial infarction is difficult to recognise because the leads of the standard 12-lead electrocardiogram are not a direct representation of the area involved. Only with indirect changes in the precordial leads as such the diagnosis can be suspected. This review will highlight the electrocardiographic fine-tuned diagnosis of posterior myocardial infarction by using the posterior leads V(7) to V(9) leading to easier and faster recognition with consequences for treatment and improved prognosis. (Neth Heart J 2007;15:16-21.).
Authors:
E O F van Gorselen; F W A Verheugt; B T J Meursing; A J M Oude Ophuis
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation     Volume:  15     ISSN:  1568-5888     ISO Abbreviation:  Neth Heart J     Publication Date:  2007 Jan 
Date Detail:
Created Date:  2007-07-06     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101095458     Medline TA:  Neth Heart J     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  16-21     Citation Subset:  -    
Affiliation:
Department of Cardiology, Medical Spectrum Twente, Enschede, the Netherlands.
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