PMID- 413517
OWN - NLM
STAT- MEDLINE
DCOM- 19780223
LR  - 20090213
IS  - 0003-9683 (Print)
IS  - 0003-9683 (Linking)
VI  - 70
IP  - 10
DP  - 1977 Oct
TI  - [Diagnosis of posterior infarction. Value of vectorcardiography. Apropos of 108 
      cases, 31 of which had exclusively posterior necrosis].
PG  - 1081-9
AB  - An analysis of the vectorcardiogram results (VCG) in 77 cases with a posterior 
      extension of an infarct and 31 cases with an exclusively posterior infarction 
      (EPI) has allowed us to distinguish some diagnostic criteria relative to the 
      extension, or localisation, of an infarct in the posterior segment. The maximum 
      anterior vector (MAV) appears late (36.5 ms +/- 5), and the amplitude of its 
      projection onto Z is increased; the maximum vector (V max) appears early (41.5 ms 
      +/- 4.5), and its orientation is anterior (+ 24 degrees +/- 11); the interval 
      separating MAV from V max is reduced to 5 ms; the transition from before 
      backwards is late (50 ms +/- 6); the ratio of anterior surface to posterior 
      surface is increased (1.45); there is a terminal delay, most frequently occuring 
      in the right posterior quadrant in 78 percent of cases; and finally, the T loop 
      approaches the Z axis. Repeat electrocardiograms in patients with EPI show the 
      most frequent changes to be represented (in 25 cases out of 31) by the following 
      formula: AQRS " 0 degrees, R/S greater than or equal to 1 in V2, RV2 greater than 
      RV6. The diagnosis of an exclusively posterior infarction can therefore be made 
      with a high degree of certainty when these electrocardiographic abnormalities are 
      associated with the clinical picture of coronary insufficiency.
FAU - Denis, B
AU  - Denis B
FAU - Machecourt, J
AU  - Machecourt J
FAU - Rossignol, B
AU  - Rossignol B
FAU - Morena, H
AU  - Morena H
FAU - Grosclaude, G
AU  - Grosclaude G
FAU - Martin-Noel, P
AU  - Martin-Noel P
LA  - fre
PT  - Comparative Study
PT  - English Abstract
PT  - Journal Article
TT  - Le diagnostic des infarctus posterieurs. Interet du vectocardiogramme. A propos 
      de 108 observations dont 31 cas de necroses exclusivement posterieures.
PL  - France
TA  - Arch Mal Coeur Vaiss
JT  - Archives des maladies du coeur et des vaisseaux
JID - 0406011
SB  - IM
MH  - Computers
MH  - Electrocardiography
MH  - Humans
MH  - Myocardial Infarction/classification/*diagnosis
MH  - *Vectorcardiography
EDAT- 1977/10/01 00:00
MHDA- 1977/10/01 00:01
CRDT- 1977/10/01 00:00
PHST- 1977/10/01 00:00 [pubmed]
PHST- 1977/10/01 00:01 [medline]
PHST- 1977/10/01 00:00 [entrez]
PST - ppublish
SO  - Arch Mal Coeur Vaiss. 1977 Oct;70(10):1081-9.