Transient Myocardial Ischemia Resulting from Gastric Volvulus
- 10 January 1985
- journal article
- Published by Massachusetts Medical Society in New England Journal of Medicine
- Vol. 312 (2) , 121
- https://doi.org/10.1056/nejm198501103120215
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 . . .This publication has 11 references indexed in Scilit:
- Electrocardiographic Changes with Gastric VolvulusNew England Journal of Medicine, 1984
- Transient pathologic Q waves during acute ischemic events: An electrocardiographic correlate of stunned but viable myocardiumAmerican Heart Journal, 1983
- Transient Q waves and reversible cardiac failure during myocardial ischemia: Electrical and mechanical stunning of the heartAmerican Heart Journal, 1983
- Transient QRS changes simulating acute myocardial infarction.Circulation, 1980
- Transient Q waves in Prinzmetal's anginaThe American Journal of Cardiology, 1975
- Transient Abnormal Q Waves in the Course of Ischemic Heart DiseaseChest, 1974
- Transient abnormal Q waves during coronary insufficiencyAmerican Heart Journal, 1966
- Transient abnormal Q waves in the dog without myocardial infarctionThe American Journal of Cardiology, 1964
- Transient electrocardiographic changes identical with those of acute myocardial infarction accompanying attacks of angina pectorisAmerican Heart Journal, 1954
- Differentiation of the electrocardiographic changes produced in the dog by prolonged temporary occlusion of a coronary artery from those produced by postoperative pericarditisAmerican Heart Journal, 1944