VECTORCARDIOGRAPHIC ABNORMALITIES SIMULATING MYOCARDIAL INFARCTION IN THE NORMAL HEART.

During a study of the vectorcardiogram in the normal young heart, four individuals were found in whom the QRS loops, surprisingly, fulfilled the usual criteria for the diagnosis of myocardial infarction. These vectorcardiograms are described in detail. Two of the four electrocardiograms are within normal limits. These abnormal vectorcardiographic patterns are probably due to a congenital variant in left ventricular conduction. This rare condition is of clinical significance because it may result in diagnostic confusion in older patients.