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Coronary Care Medicine pp 335–352Cite as

Post-Hospital Management of Myocardial Infarction

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Abstract

Over the last decade there has been considerable interest in analyzing differences in outcome among patients with “nontransmural” versus “transmural” infarction [1–10]. Although these terms have been used for many years to classify patients after serial electrocardiographic evaluation, the correlation between “transmural” and Q-wave infarction or between “nontransmural” and non-Q-wave infarction with regard to pathological findings is imperfect [11]. Infarctions found to be transmural on pathological examination can occur in the absence of Q waves on the ECG, while those found to be nontransmural may be associated with the appearance of new Q waves [12]. We prefer to describe infarcts as being either Q-wave or non-Q-wave on the basis of serial ECG evaluation. In most instances of Q-wave infarction, the infarct will most likely, but not necessarily, be transmural.

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Authors and Affiliations

  1. Cardiovascular Division, Brigham and Women’s Hospital, Boston, MA, USA

    Elliott M. Antman M.D., F.A.C.C (Assistant Professor of Medicine Harvard Medical School, Director Samuel A. Levine Cardiac Unit) & John D. Rutherford M.B., F.R.A.C.P., F.A.C.C (Assistant Professor of Medicine Harvard Medical School Co-Director, Clinical Cardiology Service)

  2. Cardiologist, Green Lane Hospital, Auckland, New Zealand

    John D. Rutherford M.B., F.R.A.C.P., F.A.C.C (Assistant Professor of Medicine Harvard Medical School Co-Director, Clinical Cardiology Service)

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© 1986 Martinus Nijhoff Publishing, Boston.

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Antman, E.M., Rutherford, J.D. (1986). Post-Hospital Management of Myocardial Infarction. In: Coronary Care Medicine. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-2303-7_15

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  • DOI: https://doi.org/10.1007/978-1-4613-2303-7_15

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