Evolving Electrocardiographic Indications for Emergent Reperfusion. [Review]

MedStar author(s):
Citation: Cardiology Clinics. 36(1):13-26, 2018 FebPMID: 29173674Institution: MedStar Heart & Vascular InstituteForm of publication: Journal ArticleMedline article type(s): Journal Article | ReviewSubject headings: *Acute Coronary Syndrome/di [Diagnosis] | *Electrocardiography/mt [Methods] | *Emergency Service, Hospital | *Myocardial Reperfusion | *Risk Assessment/mt [Methods] | Acute Coronary Syndrome/su [Surgery] | Coronary Angiography/mt [Methods] | Diagnosis, Differential | Humans | Time-to-TreatmentYear: 2018Local holdings: Available online from MWHC library: 1996 - present, Available in print through MWHC library: August 1998 - February 2004ISSN:
  • 0733-8651
Name of journal: Cardiology clinicsAbstract: Chest pain or other symptoms concerning for acute coronary syndrome continues to remain a major reason for presentation to the emergency department. However, there is significant heterogeneity in the spectrum of risk severity of these patients. The electrocardiogram (ECG) remains a critically valuable tool in the physician's arsenal to diagnose patients and help with risk stratification. There are multiple high-risk ECG findings that are suggestive of adverse outcome and may benefit from rapid transfer for coronary angiography. This article reviews specific high-risk ECG patterns that may represent acute myocardial infarction or identify impending acute myocardial infarction that benefit from early diagnostic coronary angiography.Copyright (c) 2017 Elsevier Inc. All rights reserved.All authors: Brady WJ, Lipinski MJ, Mattu AFiscal year: FY2018Digital Object Identifier: Date added to catalog: 2017-12-12
Holdings
Item type Current library Collection Call number Status Date due Barcode
Journal Article MedStar Authors Catalog Article 29173674 Available 29173674

Available online from MWHC library: 1996 - present, Available in print through MWHC library: August 1998 - February 2004

Chest pain or other symptoms concerning for acute coronary syndrome continues to remain a major reason for presentation to the emergency department. However, there is significant heterogeneity in the spectrum of risk severity of these patients. The electrocardiogram (ECG) remains a critically valuable tool in the physician's arsenal to diagnose patients and help with risk stratification. There are multiple high-risk ECG findings that are suggestive of adverse outcome and may benefit from rapid transfer for coronary angiography. This article reviews specific high-risk ECG patterns that may represent acute myocardial infarction or identify impending acute myocardial infarction that benefit from early diagnostic coronary angiography.

Copyright (c) 2017 Elsevier Inc. All rights reserved.

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