A 64-year-old Caucasian female, with a one-week history of stress angina. She was admitted to the hospital 2 hours after the onset of oppressive retrosternal pain at rest.
Risk factors: hypertension, smoker, dyslipidemia and diabetes.
[…]
Extensive Anterior Myocardial Infarction … and Something
Else?
Riera,Andrés Ricardo Pérez and Barros,Raimundo Barbosa and Sousa Neto,Antônio Fernandes Silva e and Raimundo,Rodrigo Daminello and Abreu,Luiz Carlos de and Nikus,Kjell. Extensive Anterior Myocardial Infarction … and Something
Else?. Arq. Bras.
Cardiol. [online]. 2019, vol. 112, n. 6, [cited 2025-10-23], pp.803-806. Available from: <https://abccardiol.org/en/article/extensive-anterior-myocardial-infarction-and-somethingelse/>. ISSN 0066-782X.
Figure 1
ECG/VCG correlation. A) ECG diagnosis: Left atrial enlargement
(positive Morris index), PR-segment depression in I, II, III and aVF,
low QRS voltage in the limb leads (the amplitude of all the QRS
complexes in these leads is < 5 mm). QS Pattern from V1 to
V5, and low r voltage wave in lead V6.
ST-segment elevation convex upward. B) VCG diagnosis: combination of
anteroseptal anterior and anterolateral infarction: QRS loop directed to
the back and minimally to the left near the orthogonal Z lead. The
T-loop directed to the front with broad QRS/T angle (≈+170°). Conclusion
Acute extensive anterior myocardial infarction. Possible association
with atrial infarction.