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Pediatric Cardiology
Published in: Pediatric Cardiology 3/2013

01-03-2013 | Review Article

Electrocardiogram of Anomalous Left Coronary Artery From the Pulmonary Artery in Infants

Author: Julien I. E. Hoffman

Published in: Pediatric Cardiology | Issue 3/2013

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Abstract

The electrocardiogram of an infant with anomalous left coronary artery from the pulmonary artery (ALCAPA, Bland-White-Garland syndrome) usually shows typical signs of an anterolateral myocardial infarction, manifested by abnormal Q waves in leads I, avL, V5, and V6, as well as by transient ST changes in these leads. Because 20–45 % of such patients do not show abnormal Q waves, the diagnosis should be strongly suspected if there is an abnormal R wave progression in the chest leads.
Literature
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Brekke D, DeGroff CG, Schaffer M (2001) Changing electrocardiographic patterns during medical treatment in a patient with anomalous left coronary artery originating from the pulmonary artery. Circulation 103:E85–E86PubMedCrossRef
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Gibson RS (1989) Non-Q-wave myocardial infarction: pathophysiology, prognosis, and therapeutic strategy. Ann Rev Med 40:395–410PubMedCrossRef
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Johnsrude CL, Perry JC, Cecchin F et al (1995) Differentiating anomalous left main coronary artery originating from the pulmonary artery in infants from myocarditis and dilated cardiomyopathy by electrocardiogram. Am J Cardiol 75:71–74PubMedCrossRef
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Montague TJ, MacKenzie BR, Henderson MA et al (1988) Acute non-Q-wave myocardial infarction: a distinct clinical entity of increasing importance. Can Med Assoc J 139:487–493
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Metadata
Title
Electrocardiogram of Anomalous Left Coronary Artery From the Pulmonary Artery in Infants
Author
Julien I. E. Hoffman
Publication date
01-03-2013
Publisher
Springer-Verlag
Published in
Pediatric Cardiology / Issue 3/2013
Print ISSN: 0172-0643
Electronic ISSN: 1432-1971
DOI
https://doi.org/10.1007/s00246-012-0599-7

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