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Electrocardiographi...
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Lindow, ThomasLund University,Lunds universitet,Klinisk fysiologi, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Clinical Physiology (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine,Skåne University Hospital,Växjö Central Hospital,Region Kronoberg
(författare)
Electrocardiographic changes in the differentiation of ischemic and non-ischemic ST elevation
- Artikel/kapitelEngelska2020
Förlag, utgivningsår, omfång ...
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2019-12-30
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Informa UK Limited,2020
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8 s.
Nummerbeteckningar
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LIBRIS-ID:oai:lup.lub.lu.se:a5ec035d-1463-4329-a774-b34bc08d857e
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https://lup.lub.lu.se/record/a5ec035d-1463-4329-a774-b34bc08d857eURI
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https://doi.org/10.1080/14017431.2019.1705383DOI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:art swepub-publicationtype
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Anmärkningar
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Objectives: Pericarditis, takotsubo cardiomyopathy and early repolarization syndrome (ERS) are well-known to mimic ST elevation myocardial infarction (STEMI). We aimed to study whether ECG findings of reciprocal ST depression, PR depression, ST-segment convexity or terminal QRS distortion can discriminate between ST elevation due to ischemia and non-ischemic conditions. Design: Eighty-five patients with STEMI and 94 patients with non-ischemic ST elevation were included. All patients had acute chest pain and at least 0.1 mV ST elevation. Presence of PR depression, ST-segment convexity, terminal QRS distortion or reciprocal ST depression was assessed in each ECG. Results: In anterior ST elevation, ST depression in lead II (≥0.025 mV) occurred in 40% of patients with STEMI but in none of the non-ischemic cases. In inferior ST elevation, ST depression in lead I (≥0.025 mV) was present in 83% of patients with STEMI but in none of the non-ischemic cases. Chest-lead PR depression was uncommon in STEMI (12%) compared to non-ischemic cases (38%; p < .001). Convex ST elevation occurred in 22% of STEMI cases and in 9% of non-ischemic cases (p = .01). Terminal QRS distortion was more prevalent in STEMI (40%) than in non-ischemic ST elevation (7%). In multivariable analysis, reciprocal ST depression was associated with an ischemic diagnosis, whereas ST depression in aVR and chest-lead PR depression were associated with a non-ischemic diagnosis. Conclusions: Identification of true STEMI among patients with different ST-elevation etiology may be improved by considering reciprocal ST depression, ST depression in aVR and chest-lead PR depression.
Ämnesord och genrebeteckningar
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Pahlm, OlleRegion Kronoberg(Swepub:lu)klfy-opa
(författare)
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Khoshnood, ArdavanLund University,Lunds universitet,Akutsjukvård,Forskargrupper vid Lunds universitet,Emergency medicine,Lund University Research Groups,Skåne University Hospital(Swepub:lu)med-akh
(författare)
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Nyman, IngvarVäxjö Central Hospital
(författare)
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Manna, DanielVäxjö Central Hospital
(författare)
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Engblom, HenrikRegion Kronoberg(Swepub:lu)klin-hen
(författare)
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Lassen, Annmarie TouborgOdense University Hospital
(författare)
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Ekelund, UlfLund University,Lunds universitet,Akutsjukvård,Forskargrupper vid Lunds universitet,Emergency medicine,Lund University Research Groups,Skåne University Hospital(Swepub:lu)mphy-uek
(författare)
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Klinisk fysiologi, LundSektion V
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Scandinavian cardiovascular journal : SCJ: Informa UK Limited54:2, s. 100-1071651-20061401-7431
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