Acute myocardial infarction with a non-diagnostic electrocardiogram : case presentation and overview
Date
1983-12
Authors
Przybojewski, J. Z.
Gilburt, S. G. M.
Journal Title
Journal ISSN
Volume Title
Publisher
Health and Medical Publishing Group -- HMPG
Abstract
The clinical presentation of a young hypertensive White man with acute high lateral non-transmural myocardial infarction (MI) is documented. This diagnosis was established on the grounds of a history of chest pain, elevated serial serum enzyme levels, technetium-99m pyrophosphate ('hot-spot') scintigraphy, exercise thallium-201 ('cold-spot') scanning, left ventricular cine angiography and selective coronary arteriography. Daily resting 12-lead ECGs failed to demonstrate unequivocal features of acute non-transmural subendocardial MI. The diagnostic difficulties facing the clinician in a case of acute MI associated with a non-diagnostic ECG are stressed, and the ECG features of acute subendocardial MI are reviewed.
Description
The original publication is available at http://www.samj.org.za
Keywords
Myocardial infarction
Citation
Przybojewski, J. Z., Gilburt, S. G. M. 1983. Acute myocardial infarction with a non-diagnostic electrocardiogram : case presentation and overview. South African Medical Journal, 17 December: 1026-1032