title: Electrocardiogram of anomalous left coronary artery from the pulmonary artery in infants.
abstract: The electrocardiogram of an infant with anomalous left coronary artery from the pulmonary artery (ALCAPA, Bland-White-Garland syndrome) usually shows typical signs of an anterolateral myocardial infarction, manifested by abnormal Q waves in leads I, avL, V5, and V6, as well as by transient ST changes in these leads. Because 20-45% of such patients do not show abnormal Q waves, the diagnosis should be strongly suspected if there is an abnormal R wave progression in the chest leads.
authors.affiliation: Department of Pediatrics and Cardiovascular Research Institute, University of California, 505 Parnassus Avenue, San Francisco, CA 94143, USA. julien.hoffman@ucsf.edu
authors.forename: Julien I E
authors.initials: JI
authors.lastname: Hoffman
mesh_terms: D056988:Anterior Wall Myocardial Infarction / Q000175:diagnosis*; D003330:Coronary Vessel Anomalies / Q000175:diagnosis*; D004562:Electrocardiography / Q000379:methods*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D011651:Pulmonary Artery / Q000002:abnormalities*; D012680:Sensitivity and Specificity