Inferior and Posterior Myocardial Infarction

Letters and Corrections1 April 1982Inferior and Posterior Myocardial InfarctionCHRISTIE B. HOPKINS, M.D.CHRISTIE B. HOPKINS, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-96-4-538_2 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the editor: In the January issue, Nesmith and coworkers (1) discussed inferior infarction associated with anterior S-T segment depression. They noted a higher in-hospital mortality but remarked on the absence of critical anterior stenosis in many patients with the anterior S-T segment abnormality. Two recent articles (2, 3) comment on similar ECG abnormalities associated with acute inferior myocardial infarction. Goldberg and colleagues (3) showed the presence of significant left ventricular posterolateral wall dysfunction when S-T segment depression occurred in the anterior precordial leads.I believe the explanation for the ECG abnormality is as follows: Leads VI and V2 "see"...References1. NESMITHMARPOLERAHALHOMANSTEWARTSNIDERMAN JDDJSA. Clinical outcomes after inferior myocardial infarction. Ann Intern Med. 1982;96:22-6. LinkGoogle Scholar2. SALCEDOBAIRDCHAMBERSBEANLANDS JMRD. Significance of reciprocal S-T segment depression in anterior precordial leads in acute inferior myocardial infarction: concomitant left anterior descending coronary artery disease. Am J Cardiol. 1981;48:1103-8. CrossrefMedlineGoogle Scholar3. GOLDBERGBORERJACOBSTEINKLUGER SCHEIDTALONSO HJJSD. Anterior S-T segment depression in acute inferior myocardial infarction: indicator of posterolateral infarction. Am J Cardiol. 1981;48:1009-15. CrossrefMedlineGoogle Scholar4. GRANTESTES HE. Spatial vector electrocardiography. Philadelphia: The Blakiston Company; 1951:104. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: CHRISTIE B. HOPKINS, M.D.Affiliations: Dorn Veterans' Hospital Columbia, SC 29201 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 April 1982Volume 96, Issue 4Page: 538-538KeywordsElectrocardiography ePublished: 12 March 2020 Issue Published: 1 April 1982 PDF downloadLoading ...