Ra. Kerensky et al., ECHOCARDIOGRAPHIC ASSESSMENT OF WALL-MOTION IN ST-SEGMENT ALTERNANS DURING CORONARY ANGIOPLASTY, Clinical cardiology, 19(9), 1996, pp. 749-750
ST alternans occurs in the setting of severe and extensive myocardial
ischemia. In this particular case, ST alternans occurred well after th
e onset of ischemia-induced left ventricular dysfunction. There is no
echocardiographic evidence of beat-to-beat variation in contractility
to correspond to this ST-segment phenomenon. Further studies of left v
entricular function during ST alternans in patients are needed to dete
rmine whether this finding applies to all patients with ischemic heart
disease.