
Spontaneous recovery of left ventricular function following acute anterior myocardial infarction
Author(s) -
Preuss K. C.,
Chapman P. D.,
Ptacin M. J.,
Keelan M. H.,
Bamrah V. S.
Publication year - 1988
Publication title -
clinical cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.263
H-Index - 72
eISSN - 1932-8737
pISSN - 0160-9289
DOI - 10.1002/clc.4960110712
Subject(s) - medicine , ventricle , cardiology , myocardial infarction , anterior wall , ventricular function , revascularization , infarction , angioplasty , electrocardiography in myocardial infarction
Four patients with acute anterior wall myocardial infarction showing spontaneous and marked improvement in systolic left ventricular function are described. All 4 patients showed abnormal Q waves and severe wall motion abnormalities soon after acute infarction. In all 4 patients, at least some regeneration of R‐wave forces occurred and the regional wall motion in the involved area of the left ventricle improved dramatically without coronary angioplasty or surgical revascularization during the intervening period. The improvement in left ventricular function was attributed to spontaneous increase in nutrient flow to the involved area. It is concluded that Q waves and severe wall motion abnormalities do not necessarily indicate irreversible scar formation.