The original publication is available at http://www.samj.org.za / The clinical presentation of a young hypertensive White man with acute high lateral non-transmural myocardial infarction (MI) is documented. This diagnosis was established on the grounds of a history of chest pain, elevated serial serum enzyme levels, technetium-99m pyrophosphate ('hot-spot') scintigraphy, exercise thallium-201 ('cold-spot') scanning, left ventricular cine angiography and selective coronary arteriography. Daily resting 12-lead ECGs failed to demonstrate unequivocal features of acute non-transmural subendocardial MI. The diagnostic difficulties facing the clinician in a case of acute MI associated with a non-diagnostic ECG are stressed, and the ECG features of acute subendocardial MI are reviewed. / Publishers' version
| Identifer | oai:union.ndltd.org:netd.ac.za/oai:union.ndltd.org:sun/oai:scholar.sun.ac.za:10019.1/8033 |
| Date | 12 1900 |
| Creators | Przybojewski, J. Z., Gilburt, S. G. M. |
| Publisher | Health and Medical Publishing Group -- HMPG |
| Source Sets | South African National ETD Portal |
| Language | English |
| Detected Language | English |
| Type | Article |
| Format | 7 p. : ill. |
| Rights | The authors |
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