January 1984

Atrial Infarction Complicating an Acute Inferior Myocardial Infarction

Author Affiliations

From the Division of Cardiology (Dr Finck) and the Departments of Medicine (Drs Gordon and Perera) and Radiology (Dr Levine), Berkshire Medical Center, Pittsfield, Mass. Dr Barnes is now with the Department of Radiology, St Barnabas Medical Center, Livingston, NJ.

Arch Intern Med. 1984;144(1):193. doi:10.1001/archinte.1984.00350130225042

• Atrial fibrillation, coronary sinus rhythm, and slow atrial flutter developed in a patient with ECG findings of an acute inferior myocardial infarction. Hemodynamic measurements were suggestive of predominantly right ventricular involvement. A gated cardiac blood pool study demonstrated normal right and left ventricular wall motion with an enlarged, noncontracting right atrium. This led to the antemortem diagnosis of atrial fibrillation.

(Arch Intern Med 1984;144:193)