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- W2086906521 abstract "Of 34 cases of recent myocardial infarction in which necropsy was performed, the clinical and electrocardiographic diagnosis was correct in 28 (82.05 per cent). In the 6 undiagnosed cases there was some electrocardiographic evidence in 3, and none in the other 3 cases. These diagnostic errors were due to lack of chest leads in one case, left bundle branch block in 2 cases, and intraventricular block in one case; in 2 cases the evidence was suggestive, but not conclusive. In 21 cases pericarditis was present at autopsy, but in none were the electrocardiographic changes typical of those seen in acute pericarditis. Multiple acute infarction without previous infarction was present in 8 cases (24 per cent), and in 22 cases the recent infarction, both single and multiple, was associated with older infarction.16∗ In the case of acute single infarction alone the accuracy of diagnosis and localization was 100 per cent. In the cases of recent and old infarction accuracy of diagnosis and localization was 73 per cent. In the diagnosed cases the accuracy of the electrocardiographic localization of the major acute infarction was 100 per cent (28 cases). The diagnosis of acute myocardial infarction should be made from the patient's history, the physical examination, and laboratory findings.17 The electrocardiogram (especially when serial records and chest leads are taken) will assist in the diagnosis and localization of infarction in over 80 per cent of the cases." @default.
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- W2086906521 date "1938-06-01" @default.
- W2086906521 modified "2023-09-27" @default.
- W2086906521 title "Accuracy in diagnosis and localization of myocardial infarction" @default.
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- W2086906521 doi "https://doi.org/10.1016/s0002-8703(38)90524-1" @default.
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