[ECG and coronarographic signs of an anterior wall myocardial infarct accompanied by a right ventricular infarct in the rehabilitation phase].
QRS-complex and ST-segment were analyzed by ECG using 12 routine leads in three right chest wall leads (V3R, V4R, V5R) in patients with chronic anterior wall myocardial infarction. A QRS-complex was found in leads V3R and V4R in proximal occlusion of the LAD in all (n = 22) but four patients, where retrograde filling of the septal branch of the LAD was observed. When the medial LAD was occluded (n = 13), rS-complex was present in the right chest wall leads. Similar ECG findings were revealed in normal coronary arteries (n = 46). QS-complex in leads V3R and V4R refers to right ventricle infarction in the chronic phase of anterior wall myocardial infarction, when the proximal LAD is occluded.
Kardiologische Rehabilitations-Abteilung, Komitats-Lungenkrankenhauses und Betreuungsinstituts Deszk, Ungarn.
K
K
Szász
A
A
Somfay
L
L
Horváth
D000293:Adolescent; D000328:Adult; D017023:Coronary Angiography; D004562:Electrocardiography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000534:rehabilitation; D012008:Recurrence
EKG- und koronarographische Zeichen eines einem Vorderwandherzinfarkt hinzugetretenen rechtsventrikulären Infarkts in der Rehabilitationsphase.