Simonson E, Berman R
Z Kardiol. 1975 Jan;64(1):12-20.
Two cases of myocardial infarction are reported with transient (case 1) or permanent (Case 2) recovery of an R wave in anterior chest leads in the acute epsiode. This observation confirms H. Schaefer's hypothesis of asystole of the affected area, i.e. electrical inexcitability without necrosis. This phase precedes necrosis in any acute infarction; in the large majority of cases, myocardial infarction ultimately develops; therefore, demonstration in a clinical follow-up is quite rare.
报告了两例心肌梗死病例,在急性发作期前胸部导联出现R波短暂(病例1)或永久(病例2)恢复。这一观察结果证实了H. 舍费尔关于梗死区域心脏停搏的假说,即无坏死的电不可兴奋性。这个阶段在任何急性梗死中都先于坏死;在大多数情况下,最终会发展为心肌梗死;因此,在临床随访中证实这种情况相当罕见。