CHRISTIE B. HOPKINS, M.D.
To the editor: In the January issue, Nesmith and coworkers (1) discussed inferior infarction associated with anterior S-T segment depression. They noted a higher in-hospital mortality but remarked on the absence of critical anterior stenosis in many patients with the anterior S-T segment abnormality. Two recent articles (2, 3) comment on similar ECG abnormalities associated with acute inferior myocardial infarction. Goldberg and colleagues (3) showed the presence of significant left ventricular posterolateral wall dysfunction when S-T segment depression occurred in the anterior precordial leads.
I believe the explanation for the ECG abnormality is as follows: Leads VI and V2 "see"
HOPKINS CB. Inferior and Posterior Myocardial Infarction. Ann Intern Med. ;96:538. doi: 10.7326/0003-4819-96-4-538_2
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Published: Ann Intern Med. 1982;96(4):538.
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