Electrocardiographic diagnosis of myocardial infarction in the presence of bundle branch block (right and left), ventricular premature beats and wolff-parkinson-white syndrome
1963; Elsevier BV; Volume: 6; Issue: 2 Linguagem: Inglês
10.1016/s0033-0620(63)80024-9
ISSN1873-1740
AutoresDemetrio Sodi‐Pallares, Fernando Cisneros, Gustavo A. Medrano, A Bisteni, Mario R. Testelli, Alfredo de Micheli,
Tópico(s)Cardiac pacing and defibrillation studies
ResumoThe diagnostic difficulties in the recognition of myocardial infarction in the presence of bundle branch block and the Wolff-Parkinson-White syndrome are discussed. However, through a “deductive” approach in the analysis of the electrocardiogram, such difficulties may be eliminated to a great extent. The knowledge of the sequence of cardiac activation in normal and abnormal circumstances as in bundle branch block, “pre-excitation syndrome”, and extrasystolia, is fundamental. To sum up, the “deductive” approach to clinical electrocardiography not only facilitates the general diagnosis but also indicates the limitations in arriving at a precise diagnosis of infarction.
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