Athanasopoulos C, Michalopoulos A
Acta Cardiol. 1978;33(5):331-7.
A 65 years old woman with an acute myocardial infarction, as it was judged by serial enzyme changes, developed transitory Q waves in V2-V4 and II, III and AVF during the attack of chest pain. These Q waves were not present 12 hours later. It is suggested that these changes represent a focal block in the septal fibers of the left bundle system. This defect could explain the transient right precordial Q waves seen in myocardial infarction or ischemia, as well as the fixed Q waves of many patients without septal infarction at autopsy.
一名65岁女性因系列酶变化被判定为急性心肌梗死，在胸痛发作时V2 - V4及II、III和AVF导联出现短暂Q波。12小时后这些Q波消失。提示这些变化代表左束支系统间隔纤维的局灶性阻滞。这一缺陷可解释心肌梗死或缺血时出现的短暂性右胸前导联Q波，以及许多尸检时无间隔梗死患者的固定Q波。
