Assessment of the size of acute myocardial infarction II: electrocardiography and imaging methods
Albert V. G. Bruschke, MDAddress reprint requests to A.V.G.B., Department of Cardiology, University Hospital, Rijnsburgerweg 10, 2333 AA Leiden, the Netherlands.
Arnoud van der Laarse, PhD
Ernst E. van der Wall, MD
The electrocardiogram gives a reasonable estimate of infarct size but the confidence limits are wide, and the estimates are unreliable in inferior wall infarction. Infarct size also can be determined from perfusion scintigraphy, assessment of left ventricular dimensions, wall motion disturbances, and other characteristics of the left ventricular wall. Nuclear magnetic resonance imaging, particularly with contrast enhancement, has the greatest potential for accuracy.