Abstract
To the Editor. —The case report by Gordon and co-workers 1 in the January 1984 issue of theArchivesis quite interesting in that right atrial standstill is documented via gated blood pool study, but is the diagnosis of atrial infarction justified? Had there been significant PR segment deviations— especially PR segment elevations in lead I—as the best single criterion (mainly for left atrial infarction), one might have suspected atrial infarction. Many of the other P-wave and rhythm findings are consistent with that diagnosis, but may also be associated with strictly ventricular infarction. Perhaps the authors can substantiate noncontracting atrium as a sign of atrial infarction. The last sentence in the abstract is incomprehensible.
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