Abstract
Forty PER CENT of myocardial infarctions found in a study of 250 hearts made at a large teaching hospital in Boston were not diagnosed clinically from August, 1957, to March, 1959.<sup>1</sup>Such a high incidence of clinical failure may be common and is obviously not in the best interest of patients. That diagnostic ability can be improved by the extended and meticulous employment of means currently known and readily at hand is shown by the following report. <h3>Report of a Case</h3> A 70-year-old man suffered a massive myocardial infarction on Aug. 15, 1955. Eight weeks after the infarction there were QS complexes and deeply inverted T waves in chest positions 1 to 5, with a tiny Q, a 4-mm. R, and T inverted 2.5 mm. in chest position 6. Recovery was satisfactory, with the electrocardiogram staying markedly abnormal. While shopping with his wife on Aug. 22, 1959, he
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