Atrial Infarction

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Key Points

To delineate the clinical features, electrocardiographic criteria, and diagnostic significance of atrial infarction to facilitate antemortem detection.
Reviewed characteristic clinical presentations and complications associated with atrial infarction.
Synthesized electrocardiographic diagnostic criteria and analyzed their utility in uncovering otherwise occult ventricular infarction.
Identified distinct electrocardiographic criteria necessary for the reliable antemortem diagnosis of atrial infarction.
Demonstrated that recognizing atrial infarction provides critical diagnostic clues for detecting otherwise occult ventricular infarction and anticipating severe cardiac complications.

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May facilitate earlier atrial infarction recognition on ECG; leaves open prospective validation of diagnostic criteria.

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Julius M. Gardin (1981) studied this question.

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