Electrocardiographic Pattern of Massive Myocardial Infarction without Pathologic Confirmation

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Abstract
A case of a 67-year-old patient with an electrocardiographic pattern of a massive myocardial infarction but with a normal heart at autopsy is described. The cause of death was purulent pneumonia complicated by peripheral vascular collapse. The findings in our case simply reconfirm the well-established principle that the surface electrocardiogram mirrors the electrical phenomena of the heart, which may or may not parallel histologic changes.