Reciprocal changes as the presenting electrocardiographic manifestation of acute myocardial ischemia

Oscar H. Kracoff, Allan G. Adelman, Michael Oettinger, Oded Ayzenberg, Menashe Epstein, Guiora Margulis, Natalio Cristal, Avi Caspi

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Reciprocal changes are well-recognized electrocardiographic signs often accompanying the ST-segment elevation of acute myocardial ischemia. Their significance and prognostic value have been the subject of many reports.1-7 In a previous study recording 12-lead electrocardiograms (ECG) in 20 patients during coronary angioplasty,8 we noted a case in which mild ST depression occurred in the inferior wall leads during left anterior descending occlusion. The precordial leads showed minor T-wave changes that were only recognized after comparison with the baseline ECG. That study inspired the present one, which was performed to determine whether reciprocal changes can be present before or instead of any other sign of acute myocardial ischemia.

Original languageEnglish
Pages (from-to)1359-1362
Number of pages4
JournalAmerican Journal of Cardiology
Volume71
Issue number15
DOIs
StatePublished - 1 Jun 1993
Externally publishedYes

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