MICHAEL A. NEVINS, M.D., F.A.C.P.
To the editor: The recent case report by Gorfinkel and colleagues (Ann Intern Med 79:795-799, 1973) illustrates another variant of variant angina pectoris. One aspect of this case that bears reemphasis is that classical ST elevations may be manifest in electrocardiographic leads reflecting the frontal plane. A recent study by Bete and associates (1) indicated that ST elevations in Prinzmetal's angina occur with equal frequency in anterior and inferior leads. The electrode placement system commonly employed in coronary care units, as well as for ambulatory monitoring, provides information that is essentially limited to the horizontal plane. Thus, when using conventional
NEVINS MA. Variant Variant Angina Pectoris. Ann Intern Med. ;80:673. doi: 10.7326/0003-4819-80-5-673_1
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Published: Ann Intern Med. 1974;80(5):673.
Cardiology, Coronary Heart Disease.
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