Dynamic QRS complex and ST segment vectorcardiographic monitoring can identify vessel patency in patients with acute myocardial infarction treated with reperfusion therapy.

Abstract:

:Reperfusion therapy has lowered the mortality in patients suffering acute myocardial infarction. Failure to reperfuse is associated with significantly higher risk of short- and long-term mortality. Detection of reperfusion is thus important. In a prospective pilot study, we used continuous on-line computerized vectorcardiography to monitor 21 patients with acute myocardial infarction treated with reperfusion therapy to noninvasively detect coronary patency. By using trend analysis of QRS vector difference, we were able to correctly blindly identify 15 of 16 patients with a perfused infarct-related artery and four of six patients with a persistently occluded artery at an early angiogram. The present results are based on a limited number of patients, but suggest that QRS complex and ST segment monitoring with continuous on-line vectorcardiography has substantial potential for monitoring patients with acute myocardial infarction treated with reperfusion therapy.

journal_name

Am Heart J

journal_title

American heart journal

authors

Dellborg M,Topol EJ,Swedberg K

doi

10.1016/0002-8703(91)90455-q

subject

Has Abstract

pub_date

1991-10-01 00:00:00

pages

943-8

issue

4 Pt 1

eissn

0002-8703

issn

1097-6744

pii

0002-8703(91)90455-Q

journal_volume

122

pub_type

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