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Acute myocardial infarction with a non-diagnostic electrocardiogram. Case presentation and overview

Abstract

The clinical presentation of a young hypertensive White man with acute high lateral non-transmural myocardial infarction (MI) is documented. This diagnosis was established on the grounds of a history of chest pain, elevated serial serum enzyme levels, technetium-99m pyrophosphate ('hot-spot') scintigraphy, exercise thallium-201 ('cold-spot') scanning, left ventricular cine angiography and selective coronary arteriography. Daily resting 12-lead ECGs failed to demonstrate unequivocal features of acute non-transmural subendocardial MI. The diagnostic difficulties facing the clinician in a case of acute MI associated with a non-diagnostic ECG are stressed, and the ECG features of acute subendocardial MI are reviewed.
Authors:
Przybojewski, J Z; Gilburt, S G.M. [1] 
  1. Tygerberg Hospital, Stellenbosch (South Africa). Dept. of Internal Medicine
Publication Date:
Dec 17, 1983
Product Type:
Journal Article
Reference Number:
AIX-15-031077; EDB-84-076587
Resource Relation:
Journal Name: S.Afr. Med. J.; (South Africa); Journal Volume: 64:26
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; MYOCARDIAL INFARCTION; DIAGNOSIS; MYOCARDIUM; SCINTISCANNING; TECHNETIUM 99; DIAGNOSTIC USES; THALLIUM 201; BIOMEDICAL RADIOGRAPHY; BLOOD VESSELS; ELECTROCARDIOGRAMS; HYPERTENSION; IMAGES; NECROSIS; NUCLEAR MEDICINE; PYROPHOSPHATES; BETA DECAY RADIOISOTOPES; BETA-MINUS DECAY RADIOISOTOPES; BODY; CARDIOVASCULAR DISEASES; CARDIOVASCULAR SYSTEM; COUNTING TECHNIQUES; DAYS LIVING RADIOISOTOPES; DIAGNOSTIC TECHNIQUES; DIAGRAMS; DISEASES; ELECTRON CAPTURE RADIOISOTOPES; HEART; HEAVY NUCLEI; HOURS LIVING RADIOISOTOPES; INTERMEDIATE MASS NUCLEI; ISOMERIC TRANSITION ISOTOPES; ISOTOPES; MEDICINE; MUSCLES; NUCLEI; ODD-EVEN NUCLEI; ORGANS; OXYGEN COMPOUNDS; PATHOLOGICAL CHANGES; PHOSPHORUS COMPOUNDS; RADIOISOTOPE SCANNING; RADIOISOTOPES; RADIOLOGY; SECONDS LIVING RADIOISOTOPES; SYMPTOMS; TECHNETIUM ISOTOPES; THALLIUM ISOTOPES; USES; VASCULAR DISEASES; YEARS LIVING RADIOISOTOPES; 550601* - Medicine- Unsealed Radionuclides in Diagnostics
OSTI ID:
5013886
Country of Origin:
South Africa
Language:
English
Other Identifying Numbers:
Journal ID: CODEN: SAMJA
Submitting Site:
HEDB
Size:
Pages: 1026-1032
Announcement Date:
Apr 01, 1984

Citation Formats

Przybojewski, J Z, and Gilburt, S G.M. Acute myocardial infarction with a non-diagnostic electrocardiogram. Case presentation and overview. South Africa: N. p., 1983. Web.
Przybojewski, J Z, & Gilburt, S G.M. Acute myocardial infarction with a non-diagnostic electrocardiogram. Case presentation and overview. South Africa.
Przybojewski, J Z, and Gilburt, S G.M. 1983. "Acute myocardial infarction with a non-diagnostic electrocardiogram. Case presentation and overview." South Africa.
@misc{etde_5013886,
title = {Acute myocardial infarction with a non-diagnostic electrocardiogram. Case presentation and overview}
author = {Przybojewski, J Z, and Gilburt, S G.M.}
abstractNote = {The clinical presentation of a young hypertensive White man with acute high lateral non-transmural myocardial infarction (MI) is documented. This diagnosis was established on the grounds of a history of chest pain, elevated serial serum enzyme levels, technetium-99m pyrophosphate ('hot-spot') scintigraphy, exercise thallium-201 ('cold-spot') scanning, left ventricular cine angiography and selective coronary arteriography. Daily resting 12-lead ECGs failed to demonstrate unequivocal features of acute non-transmural subendocardial MI. The diagnostic difficulties facing the clinician in a case of acute MI associated with a non-diagnostic ECG are stressed, and the ECG features of acute subendocardial MI are reviewed.}
journal = []
volume = {64:26}
journal type = {AC}
place = {South Africa}
year = {1983}
month = {Dec}
}