U.S. flag

An official website of the United States government

Format

Send to:

Choose Destination

Acute Extensive Anterior Wall Myocardial Infarction by ECG Finding

MedGen UID:
824487
•Concept ID:
C3831739
•
Finding
Synonym: Acute Extensive Anterior Wall Myocardial Infarction by EKG Finding

Definition

An electrocardiographic finding of pathologic Q waves with accompanying ST elevation in leads V1 to V6, I and aVL, which is suggestive of acute myocardial infarction involving the anterior and anterolateral walls of the left ventricle. (CDISC) [from NCI]

Professional guidelines

PubMed

Left ventricular remodeling in the elderly with acute anterior myocardial infarction treated with primary coronary intervention.
Innocenti F, Caldi F, Meini C, Agresti C, Baldereschi GJ, Marchionni N, Masotti G, Pini R
Intern Emerg Med 2010 Aug;5(4):311-9. Epub 2010 Jul 17 doi: 10.1007/s11739-010-0425-2. PMID: 20640535
Electrocardiographic criteria for predicting total occlusion of the proximal left anterior descending coronary artery in anterior wall acute myocardial infarction.
Kosuge M, Kimura K, Ishikawa T, Endo T, Shigemasa T, Sugiyama M, Tochikubo O, Umemura S
Clin Cardiol 2001 Jan;24(1):33-8. doi: 10.1002/clc.4960240106. PMID: 11195604Free PMC Article

Recent clinical studies

Etiology

Differentiating typical Tako-tsubo syndrome from extensive anterior STEMI: Look behind the anterior wall.
Berti M, Pernigo M, Dinatolo E, Cozza F, Cuccia C
Echocardiography 2022 Oct;39(10):1299-1306. Epub 2022 Sep 8 doi: 10.1111/echo.15451. PMID: 36074030
Appropriateness of anteroseptal myocardial infarction nomenclature evaluated by late gadolinium enhancement cardiovascular magnetic resonance imaging.
Allencherril J, Fakhri Y, Engblom H, Heiberg E, Carlsson M, Dubois-Rande JL, Halvorsen S, Hall TS, Larsen AI, Jensen SE, Arheden H, Atar D, Clemmensen P, Shah DJ, Cheong B, Sejersten M, Birnbaum Y
J Electrocardiol 2018 Mar-Apr;51(2):218-223. Epub 2017 Oct 6 doi: 10.1016/j.jelectrocard.2017.09.013. PMID: 29103621
Acute pancreatitis complicated by ST-elevation myocardial infarction.
Phadke MS, Punjabi P, Sharma S, Kide S, Nawale J, Chaurasia A
J Emerg Med 2013 May;44(5):932-5. Epub 2013 Mar 13 doi: 10.1016/j.jemermed.2011.06.139. PMID: 23498324
Complete atrioventricular block complicating acute anterior myocardial infarction can be reversed with acute coronary angioplasty.
Ho KW, Koh TH, Wong P, Wong SL, Lim YT, Lim ST, Hsu LF
Ann Acad Med Singap 2010 Mar;39(3):254-7. PMID: 20372763
Physiologic bases for anterior ST segment depression in patients with acute inferior wall myocardial infarction.
Mirvis DM
Am Heart J 1988 Nov;116(5 Pt 1):1308-22. doi: 10.1016/0002-8703(88)90456-5. PMID: 3055909

Diagnosis

Differentiating typical Tako-tsubo syndrome from extensive anterior STEMI: Look behind the anterior wall.
Berti M, Pernigo M, Dinatolo E, Cozza F, Cuccia C
Echocardiography 2022 Oct;39(10):1299-1306. Epub 2022 Sep 8 doi: 10.1111/echo.15451. PMID: 36074030
QRS duration and dispersion for predicting ventricular arrhythmias in early stage of acute myocardial infraction.
Chávez-González E, Rodríguez Jiménez AE, Moreno-Martínez FL
Med Intensiva 2017 Aug-Sep;41(6):347-355. Epub 2017 Mar 9 doi: 10.1016/j.medin.2016.09.008. PMID: 28284496
Acute pancreatitis complicated by ST-elevation myocardial infarction.
Phadke MS, Punjabi P, Sharma S, Kide S, Nawale J, Chaurasia A
J Emerg Med 2013 May;44(5):932-5. Epub 2013 Mar 13 doi: 10.1016/j.jemermed.2011.06.139. PMID: 23498324
Concordance of electrocardiographic patterns and healed myocardial infarction location detected by cardiovascular magnetic resonance.
Bayés de Luna A, Cino JM, Pujadas S, Cygankiewicz I, Carreras F, Garcia-Moll X, Noguero M, Fiol M, Elosua R, Cinca J, Pons-Lladó G
Am J Cardiol 2006 Feb 15;97(4):443-51. Epub 2005 Dec 20 doi: 10.1016/j.amjcard.2005.08.068. PMID: 16461034
Prognostic significance of silent myocardial ischemia after a first uncomplicated myocardial infarction.
Solimene MC, Ramires JA, Gruppi CJ, Alfieri RG, de Oliveira SF, Da Luz PL, Pileggi F
Int J Cardiol 1993 Jan;38(1):41-7. doi: 10.1016/0167-5273(93)90202-r. PMID: 8444500

Therapy

A teenager with angiographically normal epicardial coronary arteries and acute myocardial infarction after butane inhalation.
El-Menyar AA, El-Tawil M, Al Suwaidi J
Eur J Emerg Med 2005 Jun;12(3):137-41. doi: 10.1097/00063110-200506000-00009. PMID: 15891448
Acute myocardial infarction: predictors of mortality at a public hospital in the city of Fortaleza, Ceará state.
Ribeiro DG, de Andrade PJ, Paes J nior JN, Saraiva LR
Arq Bras Cardiol 2003 Jun;80(6):614-20, 607-13. Epub 2003 Jul 2 doi: 10.1590/s0066-782x2003000600004. PMID: 12856071
A prospective evaluation of the angiotensin-converting enzyme D/I polymorphism and left ventricular remodeling in the 'Healing and Early Afterload Reducing Therapy' study.
Zee RY, Solomon SD, Ajani UA, Pfeffer MA, Lindpaintner K; Heart investigators
Clin Genet 2002 Jan;61(1):21-5. doi: 10.1034/j.1399-0004.2002.610104.x. PMID: 11903350
Sustained ventricular tachycardia in the emergency department.
Domanovits H, Paulis M, Nikfardjam M, Holzer M, Stühlinger HG, Hirschl MM, Laggner AN
Resuscitation 1999 Sep;42(1):19-25. doi: 10.1016/s0300-9572(99)00044-1. PMID: 10524728
Anterior S-T segment depression in acute inferior myocardial infarction: indicator of posterolateral infarction.
Goldberg HL, Borer JS, Jacobstein JG, Kluger J, Scheidt SS, Alonso DR
Am J Cardiol 1981 Dec;48(6):1009-15. doi: 10.1016/0002-9149(81)90313-1. PMID: 6118061

Prognosis

Differentiating typical Tako-tsubo syndrome from extensive anterior STEMI: Look behind the anterior wall.
Berti M, Pernigo M, Dinatolo E, Cozza F, Cuccia C
Echocardiography 2022 Oct;39(10):1299-1306. Epub 2022 Sep 8 doi: 10.1111/echo.15451. PMID: 36074030
QRS duration and dispersion for predicting ventricular arrhythmias in early stage of acute myocardial infraction.
Chávez-González E, Rodríguez Jiménez AE, Moreno-Martínez FL
Med Intensiva 2017 Aug-Sep;41(6):347-355. Epub 2017 Mar 9 doi: 10.1016/j.medin.2016.09.008. PMID: 28284496
Prognostic significance of silent myocardial ischemia after a first uncomplicated myocardial infarction.
Solimene MC, Ramires JA, Gruppi CJ, Alfieri RG, de Oliveira SF, Da Luz PL, Pileggi F
Int J Cardiol 1993 Jan;38(1):41-7. doi: 10.1016/0167-5273(93)90202-r. PMID: 8444500
Inferior ST segment depression during acute anterior myocardial infarction: clinical and angiographic correlations.
Haraphongse M, Tanomsup S, Jugdutt BI
J Am Coll Cardiol 1984 Sep;4(3):467-76. doi: 10.1016/s0735-1097(84)80089-3. PMID: 6470325
Precordial ST-segment depression during acute inferior myocardial infarction: clinical, scintigraphic and angiographic correlations.
Gibson RS, Crampton RS, Watson DD, Taylor GJ, Carabello BA, Holt ND, Beller GA
Circulation 1982 Oct;66(4):732-41. doi: 10.1161/01.cir.66.4.732. PMID: 7116590

Clinical prediction guides

Differentiating typical Tako-tsubo syndrome from extensive anterior STEMI: Look behind the anterior wall.
Berti M, Pernigo M, Dinatolo E, Cozza F, Cuccia C
Echocardiography 2022 Oct;39(10):1299-1306. Epub 2022 Sep 8 doi: 10.1111/echo.15451. PMID: 36074030
QRS duration and dispersion for predicting ventricular arrhythmias in early stage of acute myocardial infraction.
Chávez-González E, Rodríguez Jiménez AE, Moreno-Martínez FL
Med Intensiva 2017 Aug-Sep;41(6):347-355. Epub 2017 Mar 9 doi: 10.1016/j.medin.2016.09.008. PMID: 28284496
N-terminal probrain natriuretic peptide in patients with acute coronary syndrome
.
Kang Q, Wan Z, Huang Z
Int J Clin Pharmacol Ther 2017 Jan;55(1):78-84. doi: 10.5414/CP202632. PMID: 27879192
Echocardiographic comparison of regional wall motion abnormality between patients with acute anteroseptal and acute extensive anteior ST segment elevation myocardial infarction.
Khan TA, Chowdhury AW, Khan HI, Amin MG, Sabah KM, Hossain M
Bangladesh Med Res Counc Bull 2015 Apr;41(1):35-40. doi: 10.3329/bmrcb.v41i1.30232. PMID: 27141690
Inferior ST segment depression during acute anterior myocardial infarction: clinical and angiographic correlations.
Haraphongse M, Tanomsup S, Jugdutt BI
J Am Coll Cardiol 1984 Sep;4(3):467-76. doi: 10.1016/s0735-1097(84)80089-3. PMID: 6470325

Supplemental Content

Table of contents

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Recent activity

    Clear Turn Off Turn On

    Your browsing activity is empty.

    Activity recording is turned off.

    Turn recording back on

    See more...