Electrocardiographic patterns of ventricular aneurysm

Electrocardiographic evolution in patients with hypertrophic cardiomyopathy who develop a left ventricular apical aneurysm

“…The J point had a significant upward shift in leads V 4 , V 5 and V 6 (particularly in V 5 , Table 2 QRS complex, deep Q waves in the antero-lateral leads, and fragmented QRS. [20][21][22] In patients with HCM, electrocardiographic abnormalities have often been related to…”

Electrocardiographic and Cineangiographic Correlations in Assessment of the Location, Nature and Extent of Abnormal Left Ventricular Segmental Contraction in Coronary Artery Disease

“…Early reports described a relation between ventricular aneurysm found at postmortem examination and myocardial infarction evidenced by electrocardiogram with deep S waves in leads II and III.7 9 Other authors" 6 8, 11, 12-14 have noted a relation between ventricular aneurysm found at autopsy and ECG evidence of anterior wall myocardial infarction, intraventricular conduction disturbances, persistent precordial ST depression in the presence of inferior wall infarction, low QRS voltage and multiple pathologic Q waves. A recent study indicated a close correlation between ST In addition to determination of the presence, location and nature of abnormal regional contraction, the extent of left ventricular involvement with dyssynergy can also be predicted from the electrocardiogram.…”

The rsR' pattern in left surface leads in ventricular aneurysm

“…The changes present are due to myocardial infarction and usually include pathological Q waves, bundle-branch block, or non-specific myocardial damage. Though early electrocardiographic patterns of ventricular aneurysm have been described (Goldberger and Schwartz, 1948), they lack both rationale and specificity. Persistent ST segment elevation is commonly mentioned and has been variously explained (Moyer and Hiller, I95I; Samson and Scher, I960; Caskey and Estes, I964), but still these signs are non-specific.…”