title: Prominent precordial T waves as a sign of acute anterior myocardial infarction: electrocardiographic and angiographic correlations.
abstract: In clinical practice, one occasionally encounters patients with symptoms lasting for relatively long time showing prominent positive T waves combined with minor ST elevation, or ST depression in the precordial leads. This electrocardiographic pattern has been described as Sclarovsky-Birnbaum grade 1 ischemia. We present 3 cases of patients with predominantly grade 1 ischemia, in whom the culprit site was in the left anterior descending coronary artery. The electro/pathophysiologic mechanisms of these electrocardiographic patterns are discussed.
authors.affiliation: Department of Cardiology, Shiyan Taihe Hospital, Hubei University of Medicine, Shiyan City, Hubei Province, China. zzqun21@yahoo.com.cn
authors.forename: Zhan
authors.initials: Z
authors.lastname: Zhong-qun
authors.forename: Kjell C
authors.initials: KC
authors.lastname: Nikus
authors.forename: Samuel
authors.initials: S
authors.lastname: Sclarovsky
mesh_terms: D000368:Aged; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000503:physiopathology; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000503:physiopathology* / Q000628:therapy