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• W1582701625 abstract "Article1 April 1951THE ELECTROCARDIOGRAPHIC CLUE TO VENTRICULAR ANEURYSMRALPH V. FORD, M.D., HAROLD D. LEVINE, M.D., F.A.C.P.RALPH V. FORD, M.D.Search for more papers by this author, HAROLD D. LEVINE, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-34-4-998 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptExamination of the postmortem records of 99 patients with myocardial infarction who died during the last three years at the Peter Bent Brigham Hospital showed nine instances (or 9.9 per cent) with aneurysm of the ventricle. This is defined as a marked thinning of the ventricular wall observed fluoroscopically to bulge outward with inward systolic contraction of the remainder of the ventricle, or judged from its postmortem appearance to be large and thin enough to be likely to bulge outward in this manner during ventricular systole. This incidence corresponds quite closely to the general experience of pathologists.1Since many aneurysms...Bibliography1. WangBlandWhite CHEFPD: A note on coronary occlusion and myocardial infarction found postmortem at the Massachusetts General Hospital during the 20-year period from 1926 to 1945 inclusive, Ann. Int. Med. 29: 601, 1948. LinkGoogle Scholar2. Statist. Bull. Metrop. Life Ins. Co., 28 (1): 1, 1947. Google Scholar3. ParkinsonBedfordThomson JDEWA: Cardiac aneurysm, Quart. J. Med. 7: 455, 1938. Google Scholar4. RosenbaumJohnstonAlzamora FFFDVV: Persistent displacement of the RS-T segment in a case of metastatic tumor of the heart, Am. Heart J. 27: 667, 1944. 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LinkGoogle Scholar21. Fogel EI: Aneurysm of the left ventricle following coronary infarct in living patient, J. A. M. A. 100: 39, 1933. CrossrefGoogle Scholar22. ShookhoffDouglas CAH: A case of acute coronary occlusion with roentgenographic evidence of the early development of an aneurysm of the left ventricle, Am. Heart J. 7: 95, 1931. CrossrefGoogle Scholar23. SiglerSchneider LHJJ: The diagnosis of cardiac aneurysm with report of two cases, Ann. Int. Med. 8: 1033, 1935. LinkGoogle Scholar24. Katz LN: Electrocardiography, 1946, Lea and Febiger, Philadelphia, p. 369. Google Scholar25. MyersKleinHiratzka GBHAT: II. Correlation of electrocardiographic and pathologic findings in large anterolateral infarcts, Am. Heart J. 36: 838, 1948. CrossrefMedlineGoogle Scholar26. MoyerHiller JBGI: Cardiac aneurysm: clinical and electrocardiographic analysis, Am. Heart J. 41: 340, 1951. CrossrefMedlineGoogle Scholar27. SoulieLahamPapanicolis PJI: Etude electrocardiographique des aneurysmes parietaux de la pointe du coeur, Arch. d. mal. du coeur, p. 869, September 1949. MedlineGoogle Scholar28. Ashman R: The physiological and physical aspects of the electrocardiogram. In Myers, J. A., and McKinley, C. A.: The chest and the heart, 1948, Charles C. Thomas, Springfield, Illinois, vol. II, p. 1421. Google Scholar29. LoweLove TEER: Cardiac aneurysms. A mechanical analysis of their formation, Australian J. Exper. Biol. and Med. 26: 497, 1948. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Boston, Massachusetts*Received for publication June 18, 1949.Read by title at twenty-second scientific session of American Heart Association, Atlantic City, N. J., June 3-4, 1949.From the Department of Medicine, Harvard Medical School, and the Medical Clinic, Peter Bent Brigham Hospital.(This investigation was aided, in part, by a grant from the Anna R. Lown Cardiac Research Fund.)†Lieutenant (junior grade) Medical Corps, U. S. Navy. Present address: Houston, Texas.The opinions or assertions contained herein are the private ones of the writers and are not to be construed as official or reflecting the views of the Navy Department or the Naval Service at large. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byMechanical, inflammatory, and embolic complications of myocardial infarction: An emergency medicine reviewLeft Ventricular Aneurysm May Not Manifest as Persistent ST Elevation on ElectrocardiogramElectrocardiographic criteria to differentiate acute anterior ST-elevation myocardial infarction from left ventricular aneurysmPlausible mechanisms of the rapid conversion of ST-segment elevation to T-wave inversion in Takotsubo syndromeTwo possible mechanisms for the electrocardiogram diffuse ST-segment elevation in Takotsubo syndromeIs the ST-Segment Elevation in Takotsubo Syndrome Partially (or Even Totally) Due to Dyskinesis?T/QRS ratio best distinguishes ventricular aneurysm from anterior myocardial infarctionDiagnosis of Ventricular Aneurysm and Other Severe Segmental Left Ventricular Dysfunction Consequent to a Myocardial Infarction in the Presence of Right Bundle Branch Block: ECG Correlates of a Positive Diagnosis Made via Echocardiography and/or Contrast VentriculographyDiagnosis of myocardial infarction-induced ventricular aneurysm in the presence of complete left bundle branch blockMyocardial infarction-induced ventricular aneurysm in the presence of complete left bundle branch block: A case report suggesting a new electrocardiographic diagnostic criterionThe role of ischemia and ventricular asynergy in the genesis of exercise-induced ST elevationThe Significance of ST Abnormalities in Myocardial InfarctionPrognostic value of Q waves, R/S ratio, loss of R wave voltage, ST-T segment abnormalities, electrical axis, low voltage and notching: Correlation of electrocardiogram and left ventriculogramPersistent ST-segment elevation and left ventricular wall abnormalities: A 2-dimensional echocardiographic studyDiagnostic value of electrocardiogram and vectorcardiogram in postinfarction ventricular asynergyExercise Testing Early after Myocardial InfarctionRole of myocardial ischemia in the genesis of stress-induced S-T segment elevation in previous anterior myocardial infarctionClinical significance of exercise-induced ST segment elevation. 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Their possible relationship to aneurysm formation.Management of Myocardial InfarctionProspective correlative study of ventricular aneurysmCardiovascular SystemPostinfarction ventricular aneurysmÜber die Beziehungen zwischen elektrokardiographischen, pathologisch-anatomischen und haemodynamischen Befunden beim HerzinfarktPeritoneoscopy: Its value as a diagnostic aidDIFFUSE ENDOMYOCARDIAL SCLEROSISPosterior ventricular aneurysm in patient with dextrocardia and situs inversusCARDIAC ANEURYSM WITH VENTRICULAR TACHYCARDIA: CASE REPORT AND BRIEF REVIEW OF THE LITERATURE*EDWARD WASSERMAN, M.D., JACOB YULES, M.D. 1 April 1951Volume 34, Issue 4Page: 998-1016KeywordsAneurysmsCardiac musclesElectrocardiographyHospital medicineIschemiaLeft bundle branch blockMusclesMyocardial infarctionResearch fundingSystole ePublished: 1 December 2008 Issue Published: 1 April 1951 PDF downloadLoading ..." @default.
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