False "Coronary Patterns" in the Infant Electrocardiogram

Abstract

Electrocardiographic patterns of myocardial infarction are rarely found in infancy and suggest, in the first place, an anomalous origin of the left coronary artery. Five infants with such electrocardiograms are reported. In all coronary heart disease could be ruled out, in 4

Natural history of left ventricular function in neonatal coxsackie myocarditis

“…The resolution of the EGG changes in myocarditis is in keeping with the functional recovery of the myocardium [7,30], but does not exclude residual damage [I2] . Coxsackie infection often mimics myocardial infarction and the association appears to be more frequent than by chance [25,35] .…”

Myocardial infarction and ischaemic heart disease in infants and children. Analysis of 29 cases and review of the literature.

“…Since this is the most common finding, operation should be beneficial for most cases. Dominguez et al (1959) suggest that the particular localization of the infarction by ECG is of help in the differential diagnosis. Posterior wall infarction in their view indicates an aetiology other than anomalous origin of the left coronary artery.…”

“…Dominguez et al (1959) published the case of a 10-week-old infant with a posterior infarction ECG pattern where histology of the heart showed no abnormality, and also a 10 13-month-old girl with antero-lateral infarction and clinical improvement. Doherty and Dood (1957) published an antero-lateral infarction ECG pattern in a 5-year-old girl whom they followed for 3 years and whose ECG picture later became normal.…”

Prognostic value of the electrocardiogram in endocardial fibroelastosis.

“…2). coronary calcinosis, and anomalous left coronary One of the two children with the anterolateral artery (Apley, 1961;Dominguez, Lendrum, and 'infarct' pattern showed massive fibrosis of the Pick, 1959;Noren et al, 1964;Thomas et al, apex and lateral wall of the left Ventricle at necropsy. 1956).…”