Electrocardiogram of acute ST-elevation myocardial infarction: the significance of the various "scores".

Abstract:

:The Electrocardiogram has extensively been used for evaluation and triage of patients with acute chest pain. The clinician admitting a patient with ST elevation acute myocardial infarction should be able to estimate the size and location of the ischemic area at risk, how much of the ischemic myocardium has already undergone irreversible necrosis by the time of presentation, and the "severity of ischemia" (or what is the rate of progression of necrosis as long as ischemia continues). The electrocardiographic variables that are used to make these estimates are the initial portion of the QRS (Q and R waves), the terminal portion of the QRS (the S waves and the J-point), the ST segment, and the configuration of the T waves. This editorial discuss the ability to predict each of the "physiological" parameters using the above mentioned electrocardiographic variables.

journal_name

J Electrocardiol

authors

Birnbaum Y,Ware DL

doi

10.1016/j.jelectrocard.2005.01.003

keywords:

subject

Has Abstract

pub_date

2005-04-01 00:00:00

pages

113-8

issue

2

eissn

0022-0736

issn

1532-8430

pii

S002207360500018X

journal_volume

38

pub_type

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