Electrocardiographic Q-waves inconstancy during thrombolysis in acute anterior wall myocardial infarction.
It is the purpose of this paper to describe the electrocardiographic inconstancy of Q-waves during administration of thrombolytic therapy. This was documented in four patients given streptokinase early in the course of anterior wall myocardial infarction. Understanding the pathogenesis of sequential dynamic variations of Q-waves in this setting may offer important insights into coronary physiology and management of acute coronary events. We discuss the possible explanations for such changes with respect to tissue viability, dynamic vascular changes and electrophysiological properties of the reperfused infarcted myocardium.
Rechavia
E
E
Cardiovascular Division, Beilinson Medical Center, Petah-Tiqva, Israel.
Blum
A
A
Mager
A
A
Birnbaum
Y
Y
Strasberg
B
B
Sclarovsky
S
S
D015906:Angioplasty, Balloon, Coronary; D003131:Combined Modality Therapy; D017023:Coronary Angiography; D004562:Electrocardiography / Q000187:drug effects*; D006801:Humans; D007262:Infusions, Intravenous; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000188:drug therapy*; D013300:Streptokinase / Q000008:administration & dosage*; D015912:Thrombolytic Therapy
D013300:Streptokinase