To investigate mechanism and value of the electrocardiogram(ECG) as predictor of the left anterior descending coronary artery (LAD) occlusion site in patients with acute anterior myocardial infarction(AAMI), and to analysis the characters of ECG and coronary artery configuration in patients with acute anteroseptal myocardial. Methods and results Between 1999 and 2004, 58 patients (51 men, 7 women) with anterior wall AMI were admitted to our coronary care unit in TIAN JIN medical university general hospital....