[Myocardial infarct without classical Q-waves in the ECG].
In this article the ECG pattern of myocardial infarction not associated with the commonly seen pathologic Q waves (greater than 0.03 s) or QS waves is discussed. In a short introduction the differential diagnosis of pathologic Q or QS waves is recalled. Thereafter, the authors insist on their experience, that the diagnosis of infarction should generally be based on the combination of RIsk factors, THOracic pain, a pathologic ECg and elevated cardiac ENzymes. Therefore, the diagnosis of a myocardial infarction should be made only, if it is 'RITHOCGENE' (abbreviation of the above-mentioned combination). The typical or possible 'non-Q-wave infarction' ECG patterns are listed, including a normal ECG.
Gertsch
M
M
Kardiologische Abteilung, Medizinischen Universitätsklinik, Bern.
Fuhrer
J
J
D000368:Aged; D002037:Bundle-Branch Block / Q000150:complications; D004562:Electrocardiography; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000145:classification / Q000150:complications / Q000175:diagnosis*
Der Myokardinfarkt ohne klassische Q-Zacken im EKG.