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Volume 348:2362 June 5, 2003 Number 23
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The Electrocardiogram in Acute Myocardial Infarction

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by Zimetbaum, P. J.
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To the Editor: The review article by Zimetbaum and Josephson (March 6 issue)1 on the usefulness of the electrocardiogram in the diagnosis of acute myocardial infarction is essential reading for anyone who cares for patients with a suspected acute myocardial infarction. Some qualifications regarding the diagnosis of acute myocardial infarction in patients with left bundle-branch block are in order. Although proposed criteria2 facilitate the diagnosis, an occasional problem arises when reliance on the criterion of an ST-segment elevation of more than 5.0 mm in leads with primarily negative QRS complexes leads to a false positive diagnosis of acute myocardial infarction. . . . [Full Text of this Article]



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