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Pediatr Cardiol. 2013 Mar;34(3):489-91. doi: 10.1007/s00246-012-0599-7. Epub 2012 Dec 15.

Electrocardiogram of anomalous left coronary artery from the pulmonary artery in infants.

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  • 1Department of Pediatrics and Cardiovascular Research Institute, University of California, 505 Parnassus Avenue, San Francisco, CA 94143, USA. julien.hoffman@ucsf.edu

Abstract

The electrocardiogram of an infant with anomalous left coronary artery from the pulmonary artery (ALCAPA, Bland-White-Garland syndrome) usually shows typical signs of an anterolateral myocardial infarction, manifested by abnormal Q waves in leads I, avL, V5, and V6, as well as by transient ST changes in these leads. Because 20-45% of such patients do not show abnormal Q waves, the diagnosis should be strongly suspected if there is an abnormal R wave progression in the chest leads.

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