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(Chest. 1968;54:469-474.)
© 1968 American College of Chest Physicians

Vectorcardiogram Simulating Myocardial Infarction in Idiopathic Hypertrophic Subaortic Stenosis

Paul D. Stein M.D.1; Rolando M. Solis M.D.1; Harold L. Brooks M.D.1; James L. Matson M.D.1; and John W. Hyland M.D., F.C.C.P.1

1 Department of Medicine, Baylor University Medical Center and University of Texas Southwestern Medical School, Dallas, Texas

Vectorcardiograms and electrocardiograms that simulated patterns of myocardial infarction were recorded in two patients with idiopathic hypertrophic subaortic stenosis. Both patients had normal coronary arteries as shown by selective coronary arteriography. The angiographic evidence of normal coronary arteries in these patients supports the clinical impression that both the vectorcardiogram and the electrocardiogram can simulate myocardial infarction in patients with idiopathic hypertrophic subaortic stenosis. The vectorcardiogram may not distinguish between the electrocardiographic pattern of myocardial infarction and the electrocardiographic pattern that mimics myocardial infarction in such patients.






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Copyright © 1968 by the American College of Chest Physicians.