Location of myocardial infarction and its surface cardioelectric representation. An experimental study

In order to explore the relationship between the different location of myocardial infarction (MI) and reflections of pathognomonic Q potentials on the body surface, an experimental study was carried out in 28 dogs. The results were (1) in 27 of a total 28 dogs after MI formation, abnormal Q maps appeared; (2) right ventricular MI, posterior wall MI and some lateral and apical MI are prone to miss abnormal Q potentials in the conventional 12-lead ECG; and (3) the MI location and relative size diagnosed through electrocardiographic peak mapping (EPM) correlated to acute MI in dog ventricles fairly well. The unexpected Q map reflections of right ventricular MI provide new clues for improving our automatic diagnosis system after further correlative studies. The results strongly support the feasibility of the application of EPM in clinical diagnosis.