Myocardial Infarction and Cerebral Hæmorrhage
Report:
Sinus tachycardia
Left anterior hemiblock
Left ventricular hypertrophy
Acute anterior infarction
Comment:
The pattern is indistinguishable from that of acute myocardial infarction. There was, however, no other evidence for it, in life or at autopsy135.
There are, admittedly, no reciprocal changes; perhaps the hemiblock masks them, moving the ST segment opposite the increased S waves in the inferior leads, or concealing an older inferior infarction. This explanation is attractive, but incorrect: the resolution of the hemiblock in a later trace (Fig 187a below) showed no such things!
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