Transient abnormal Q waves during acute myocardial infarction.

Acta Cardiol, 1978;33(5):331-7.

Athanasopoulos C, Michalopoulos A

PMID: 312575

Impact factor: 1.738

Abstract
A 65 years old woman with an acute myocardial infarction, as it was judged by serial enzyme changes, developed transitory Q waves in V2-V4 and II, III and AVF during the attack of chest pain. These Q waves were not present 12 hours later. It is suggested that these changes represent a focal block in the septal fibers of the left bundle system. This defect could explain the transient right precordial Q waves seen in myocardial infarction or ischemia, as well as the fixed Q waves of many patients without septal infarction at autopsy.
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