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Postprandial changes in the electrocardiogram are generally considered to be slight and not subject to misinterpretation. Four patients are presented in whom a diagnosis of coronary artery disease had been made because of flattening or inversion of the T waves in the bipolar or lateral V leads. The changes in T waves were temporary and could be produced by a high-carbohydrate meal. In addition, T-wave changes after a similar meal were studied in 85 normal young adults and 47 patients.About two years previously he suddenly had a severe, stabbing pain over the precordium while driving an automobile. The pain persisted for 10 minutes and was accompanied by weakness and perspiration. He was admitted to a hospital where Circulation, Volume X, December, 1954 by guest on April 9, 2015 http://circ.ahajournals.org/ Downloaded from

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