Evolving Electrocardiographic Indications for Emergent Reperfusion. [Review]
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
Item type | Current library | Collection | Call number | Status | Date due | Barcode |
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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.
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