Transient Myocardial Ischemia Resulting from Gastric Volvulus

Abstract
To the Editor: Farr et al. (June 28 issue)1 have presented an interesting case of acute gastric volvulus and electrocardiographic changes simulating acute inferior-wall myocardial infarction. They postulate that either cardiac rotation or pericardial irritation was caused by gastric distention and that this resulted in transient Q waves and ST-segment elevation in inferior leads and ST-segment depression in anterior leads.Although it seems possible that gastric dilatation could mechanically affect the heart in this manner, we believe that a more likely explanation for the electrocardiographic changes is transient myocardial ischemia. We suggest that this elderly patient presented with acute gastric . . .