Reciprocal ST-Segment Depression
Authors: JEAN VIALLET
Journal: Annals of Internal Medicine (1984)

Letters and Corrections1 May 1984Reciprocal ST-Segment DepressionJEAN VIALLET, M.D.JEAN VIALLET, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-100-5-767_2 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the editor: The February issue includes an article by Little and colleagues (1) and an abstract in the "From Other Pages" section (2) that address the question of the significance of reciprocal ST-segment depression during acute myocardial infarction. The data presented by these authors indeed support their conclusion that in the small groups of patients they studied, these changes represented an electrical phenomenon rather than ischemia at a distance from the infarct zone. I believe, however, that the editorial comment accompanying the abstract, which states that "these results negate the idea that reciprocal ST-segmented depression in acute infarcts suggests...References1. LITTLEROGERSSODUMS WEM. Mechanism of anterior ST segment depression during acute inferior myocardial infarction: observations during coronary thrombolysis. Ann Intern Med. 1984;100:226-9. LinkGoogle Scholar2. FERGUSONPANDIANKIOSCHOSMARCUSWHITE DNJMC. Angiographic evidence that reciprocal ST-segment depression during acute myocardial infarction does not indicate remote ischemia: analysis of 23 patients. Am J Cardiol. 1984;53:55-62. CrossrefMedlineGoogle Scholar3. NASMITHMARPOLERAHALHOMANSTEWARTSNIDERMAN JDDJSA. Clinical outcomes after inferior myocardial infarction. Ann Intern Med. 1982;96:22-6. LinkGoogle Scholar4. BILLADELLOSMITHLUDBROOKTIEFENBRUNNJAFFESOBELGELTMAN JJPAABE. Implications of "reciprocal" ST-segment depression associated with acute myocardial infarction identified by positron chromography. JACC. 1983;2:616-24. CrossrefMedlineGoogle Scholar1. LITTLEROGERSSODUMS WEM. Mechanism of anterior ST segment depression during acute inferior myocardial infarction: observations during coronary thrombolysis. Ann Intern Med. 1984;100:226-9. LinkGoogle Scholar2. WASSERMANROSSBOGATYRICHARDSONHUTCHINSONRIOS AADDRJ. Anterior ST segment depression during acute inferior myocardial infarction: Evidence for the reciprocal change theory. Am Heart J. 1983;106:516-20. CrossrefMedlineGoogle Scholar3. FERGUSONPANDRANKIOSCHOSMARCUSWHITE DNJMC. Angiographic evidence that reciprocal ST-segment depression during acute myocardial infarction does not indicate remote ischemia: analysis of 23 patients. Am J Cardiol. 1984;53:55-62. CrossrefMedlineGoogle Scholar4. GIBSONCRAMPTONWATSON RRD. Precordial ST segment depression during acute inferior myocardial infarction: clinical, scintigraphic and angiographic correlations. Circulation. 1982;66:732-41. CrossrefMedlineGoogle Scholar5. ONGVALDELLONCOROMILARBRODYREISERMORRISON LBJRPJ. Precordial ST-segment depression in acute inferior myocardial infarctions: evaluation by quantitative thallium-201 scintigraphy and technetium-99m ventriculography. Am J Cardiol. 1983;51:734-9. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Montreal General Hospital Montreal, PO H3G 1A4 Canada PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 May 1984Volume 100, Issue 5Page: 767-768KeywordsAcute myocardial infarctionIschemia Issue Published: 1 May 1984 PDF DownloadLoading ...