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STUDIES IN ACUTE MYOCARDIAL INFARCTIONIII. DIAGNOSIS AND LOCATION OF THE INFARCT BY ELECTROCARDIOGRAM
SAMUEL BAER, M.D.;
HAROLD FRANKEL, M.D.
Arch Intern Med. 1944;73(4):286-289.
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In previous papers1 We have considered the clinical and laboratory features presented by 378 cases of acute myocardial infarction. The excellent early discussions of the topic2 so emphasized the clinical aspects that myocardial infarction should be, as Henry Christian described it,2e "an easily diagnosable condition." In the great majority of cases the diagnosis of acute infarction of the myocardium can be made, or at least suspected, on clinical evidence alone. However, the list of conditions considered in the differential diagnosis of acute infarction is lengthy (Herrick3 has mentioned 28). We found that but 50 per cent of our patients were admitted with the diagnosis of acute infarction and that in 20 per cent of the cases the admission diagnosis contained no mention of the heart whatsoever.1a The electrocardiogram therefore must play a major role in confirming the clinical diagnosis or in revealing the presence of
. . . [Full Text PDF of this Article]
Author Affiliations
Associate in Medicine and Associate in Cardiology, Jewish Hospital; Assistant in Medicine, Jewish Hospital PHILADELPHIA
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