Significance of a lateral Q wave following first anterior wall acute myocardial infarction

Gervasio A. Lamas*, Douglas E. Vaughan, Marc A. Pfeffer

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

Left ventricular (LV) thrombus formation is a common complication of anterior wall acute myocardial infarction (AMI).1 However, not all patients with anterior AMI are at a similar risk for this complication. Indeed, we2 reported that severe distortion of LV shape was an independent predictor of LV thrombus formation. Therefore, we decided to test a clinical observation that in patients with a first anterior wall AMI, the development of lateral Q waves in addition to precordial Q waves is observed in those with distortion of LV contour. Because LV contour is an independent predictor of LV thrombus formation, we wished to extend this observation and determine whether the resting post-AMI electrocardiograms could be used to predict the presence or absence of LV thrombus.

Original languageEnglish (US)
Pages (from-to)674-675
Number of pages2
JournalThe American journal of cardiology
Volume65
Issue number9
DOIs
StatePublished - Mar 1 1990

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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