[Myocardial infarction with normal electrocardiogram].
These two cases concern myocardial infarcts where the electrocardiogram (ECG) was within normal limits at admission and throughout the period of hospitalisation, the diagnosis of an infarct being made secondarily on the basis of raised CPK. Both cases involved infarcts limited to the lateral wall due to occlusion of the first marginal artery of the left border. Several recent studies have evaluated the diagnostic value of the ECG in infarcts and have shown its lack of sensitivity in lateral infarcts. The resultant diagnostic difficulties may lead to delayed treatment, the consequences of which should not be capital since it has been shown that infarcts with a normal or minimally abnormal ECG at the time of admission have a favourable short term prognosis.
Bouchiat
C
C
Service de Cardiologie, Hôpital d'Instruction des Armées Sainte-Anne, Toulon.
Talard
P
P
Mafart
B Y
BY
Carli
P
P
Dussarat
G V
GV
D000328:Adult; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis / Q000503:physiopathology*; D011379:Prognosis
Infarctus du myocarde à électrocardiogramme normal.