Skip to main content
British Heart Journal logoLink to British Heart Journal
. 1977 Aug;39(8):903–906. doi: 10.1136/hrt.39.8.903

Myocardial infarction after aortocoronary saphenous vein bypass. Vectorcardiographic study.

G P McNeill, N Poirier, J Morin, G A Klassen
PMCID: PMC483340  PMID: 302716

Abstract

Vectorcardiograms and scalar electrocardiograms were recorded in 30 patients before and after aortocoronary saphenous vein bypass surgery to determine whether vectorcardiograms are helpful in making the diagnosis of perioperative transmural infarction. The vectorcardiogram indicated inferior infarction in 2 cases and anterior infarction in 1 case when the diagnosis was not apparent on the electrocardiogram. In the solitary case of anterior infarction diagnosed by the electrocardiogram, anterior infarction was already present on the preoperative vectorcardiogram. The study indicates that the recording of vectorcardiograms before and after aortocoronary bypass surgery facilitates the diagnosis of perioperative anterior and inferior infarction and may reveal perioperative infarction about a previously infarcted area.

Full text

PDF
903

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BATTEZZATI M., TAGLIAFERRO A., CATTANEO A. D. Clinical evaluation of bilateral internal mammary artery ligation as treatment coronary heart disease. Am J Cardiol. 1959 Aug;4(2):180–183. doi: 10.1016/0002-9149(59)90245-0. [DOI] [PubMed] [Google Scholar]
  2. BURCH G. E., HORAN L. G., ZISKIND J., CRONVICH J. A. A correlative study of postmortem, electrocardiographic, and spatial vectorcardiographic data in myocardial infarction. Circulation. 1958 Sep;18(3):325–340. doi: 10.1161/01.cir.18.3.325. [DOI] [PubMed] [Google Scholar]
  3. Brewer D. L., Bilbro R. H., Bartel A. G. Myocardial infarction as a complication of coronary bypass surgery. Circulation. 1973 Jan;47(1):58–64. doi: 10.1161/01.cir.47.1.58. [DOI] [PubMed] [Google Scholar]
  4. CHAMBERLAIN D. A., EDMONDS-SEAL J. EFFECTS OF SURGERY UNDER GENERAL ANAESTHESIA ON THE ELECTROCARDIOGRAM IN ISCHAEMIC HEART DISEASE AND HYPERTENSION. Br Med J. 1964 Sep 26;2(5412):784–787. doi: 10.1136/bmj.2.5412.784. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. FRANK E. An accurate, clinically practical system for spatial vectorcardiography. Circulation. 1956 May;13(5):737–749. doi: 10.1161/01.cir.13.5.737. [DOI] [PubMed] [Google Scholar]
  6. Favaloro R. G. Saphenous vein autograft replacement of severe segmental coronary artery occlusion: operative technique. Ann Thorac Surg. 1968 Apr;5(4):334–339. doi: 10.1016/s0003-4975(10)66351-5. [DOI] [PubMed] [Google Scholar]
  7. Gardner T. J., Brantigan J. W., Perna A. M., Bender H. W., Brawley R. K., Gott V. L. Intramyocardial gas tensions in the human heart during coronary artery-saphenous vein bypass. J Thorac Cardiovasc Surg. 1971 Dec;62(6):844–850. [PubMed] [Google Scholar]
  8. Gunnar R. M., Pietras R. J., Blackaller J., Dadmun S. E., Szanto P. B., Tobin J. R., Jr Correlation of vectorcardiographic criteria for myocardial infarction with autopsy findings. Circulation. 1967 Jan;35(1):158–171. doi: 10.1161/01.cir.35.1.158. [DOI] [PubMed] [Google Scholar]
  9. HUGENHOLTZ P. G., FORKNER C. E., Jr, LEVINE H. D. A clinical appraisal of the vectorcardiogram in myocardial infarction. II. The Frank system. Circulation. 1961 Oct;24:825–850. doi: 10.1161/01.cir.24.4.825. [DOI] [PubMed] [Google Scholar]
  10. McConahay D. R., McCallister B. D., Hallermann F. J., Smith R. E. Comparative quantitative analysis of the electrocardiogram and the vectorcardiogram. Correlations with the coronary arteriogram. Circulation. 1970 Aug;42(2):245–259. doi: 10.1161/01.cir.42.2.245. [DOI] [PubMed] [Google Scholar]
  11. PERLOFF J. K. THE RECOGNITION OF STRICTLY POSTERIOR MYOCARDIAL INFARCTION BY CONVENTIONAL SCALAR ELECTROCARDIOGRAPHY. Circulation. 1964 Nov;30:706–718. doi: 10.1161/01.cir.30.5.706. [DOI] [PubMed] [Google Scholar]
  12. SCHMITT O. H. AVERAGING TECHNIQUES EMPLOYING SEVERAL SIMULTANEOUS PHYSIOLOGICAL VARIABLES. Ann N Y Acad Sci. 1964 Jul 31;115:952–975. [PubMed] [Google Scholar]
  13. Schatz I. J. The need to know. Chest. 1973 Jan;63(1):82–83. doi: 10.1378/chest.63.1.82. [DOI] [PubMed] [Google Scholar]
  14. Schrank J. P., Slabaugh T. K., Beckwith J. R. The incidence and clinical significance of ECG-VCG changes of myocardial infarction following aortocoronary saphenous vein bypass surgery. Am Heart J. 1974 Jan;87(1):46–54. doi: 10.1016/0002-8703(74)90390-1. [DOI] [PubMed] [Google Scholar]
  15. Smith G. T., Soeter J. R., Haston H. H., McNamara J. J. Coronary reperfusion in primates. Serial electrocardiographic and histologic assessment. J Clin Invest. 1974 Dec;54(6):1420–1427. doi: 10.1172/JCI107889. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Starr J. W., Wagner G. S., Behar V. S., Walston A., 2nd, Greenfield J. C., Jr Vectorcardiographic criteria for the diagnosis of inferior myocardial infarction. Circulation. 1974 May;49(5):829–836. doi: 10.1161/01.cir.49.5.829. [DOI] [PubMed] [Google Scholar]
  17. WOLFF L., WOLFF R., SAMARTZIS M. D., MAZZOLENI A., SOFFE A. M., REINER L., MATSUOKA S. Vectorcardiographic diagnosis. A correlation with autopsy findings in 167 cases. Circulation. 1961 Jun;23:861–880. doi: 10.1161/01.cir.23.6.861. [DOI] [PubMed] [Google Scholar]

Articles from British Heart Journal are provided here courtesy of BMJ Publishing Group

RESOURCES