Myocardial Infarction Patterns in Young Subjects with Normal Coronary Arteriograms

For the present, the primary obligations of this communication are to acknowledge that the electrocardiographic patterns of myocardial ischemia, injury, and necrosis may appear in asymptomatic, young white males who have low-intensity systolic murmurs; to record that any implication that these electrical deviations result from obstructive coronary disease cannot be substantiated by coronary arteriography; and to suggest that individuals possessing these diagnostic features may represent a distant, recognizable clinical entity the etiology of which remains obscure.