当前位置： SCI文献检索 > AMERICAN HEART JOURNAL期刊下所有文献 > Appropriate cardiac cath lab activation: optimizing electrocardiogram interpretation and clinical decision-making for acute ST-elevation myocardial infarction.

Appropriate cardiac cath lab activation: optimizing electrocardiogram interpretation and clinical decision-making for acute ST-elevation myocardial infarction.

Abstract：

:During the last few decades, acute ST-elevation on an electrocardiogram (ECG) in the proper clinical context has been a reliable surrogate marker of acute coronary occlusion requiring primary percutaneous coronary intervention (PPCI). In 2004, the American College of Cardiology/American Heart Association ST-elevation myocardial infarction (STEMI) guidelines specified ECG criteria that warrant immediate angiography in patients who are candidates for primary PPCI, but new findings have emerged that suggest a reappraisal is warranted. Furthermore, as part of integrated and efficient STEMI systems, emergency department and emergency medical services providers are now encouraged to routinely make the time-sensitive diagnosis of STEMI and promptly activate the cardiac catheterization laboratory (Cath Lab) team. Our primary objective is to provide a practical summary of updated ECG criteria for emergency coronary angiography with planned PPCI, thus allowing clinicians to maximize the rate of appropriate Cath Lab activation and minimize the rate of inappropriate Cath Lab activation. We review the evidence for ECG interpretation strategies that either increase diagnostic specificity for "classic" STEMI and left bundle-branch block or improve diagnostic sensitivity in identifying 4 STEMI-equivalents: posterior MI, acute left main occlusion, de Winter ST/T-wave complex, and certain scenarios of resuscitated cardiac arrest.

journal_name

Am Heart J

journal_title

American heart journal

authors

Rokos IC,French WJ,Mattu A,Nichol G,Farkouh ME,Reiffel J,Stone GW

doi

10.1016/j.ahj.2010.08.011

subject

Has Abstract

pub_date

2010-12-01 00:00:00

pages

995-1003, 1003.e1-8

issue

6

eissn

0002-8703

issn

1097-6744

pii

S0002-8703(10)00758-1

journal_volume

160

pub_type

杂志文章,评审

相关文献

AMERICAN HEART JOURNAL文献大全
  • Evaluation of coronary artery disease in the patient unable to exercise: alternatives to exercise stress testing.

    abstract：:Exercise stress testing is a well-established method for the diagnostic, prognostic, and functional assessment of patients with known or suspected CAD. A variety of alternative tests have been described in patients unable to perform leg exercise. Atrial pacing and dipyridamole imaging have been evaluated most extensiv...

    journal_title：American heart journal

    pub_type： 杂志文章,评审

    doi：10.1016/0002-8703(89)90417-1

    authors： Stratmann HG,Kennedy HL

    更新日期：1989-06-01 00:00:00

  • Oxidative stress is related to exercise intolerance in patients with heart failure.

    abstract：:To assess the role of oxidative stress in exercise intolerance in patients with heart failure, a symptom-limited exercise test was performed with a bicycle ergometer in 12 patients with heart failure and in 7 members of a healthy control group. Level of plasma malondialdehyde, a marker of lipid peroxidation, at rest w...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/s0002-8703(98)70351-5

    authors： Nishiyama Y,Ikeda H,Haramaki N,Yoshida N,Imaizumi T

    更新日期：1998-01-01 00:00:00

  • A single-blind study of doxazosin in the treatment of mild-to-moderate essential hypertensive patients with concomitant noninsulin-dependent diabetes mellitus.

    abstract：:Doxazosin, a selective alpha 1-inhibitor, was assessed for antihypertensive efficacy, effect on lipid parameters, and safety profile in 21 hypertensive patients with noninsulin-dependent diabetes mellitus. The study involved a 2- to 4-week baseline period, a 10-week period in which patients received doxazosin, 1 to 8 ...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/0002-8703(88)90229-3

    authors： Castrignano R,D'Angelo A,Pati T,Al Awady M,Tronca R,Crepaldi G

    更新日期：1988-12-01 00:00:00

  • How diuretics lower blood pressure.

    abstract：:Thiazides produce an average loss of 2 L of extracellular fluid volume, of which about 300 ml is plasma volume, during the first 48 hours of administration, and this reduction is maintained without further loss for as long as the drug is given. Do thiazides lower blood pressure by volume depletion or by direct vasodil...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/0002-8703(83)90116-3

    authors： Freis ED

    更新日期：1983-07-01 00:00:00

  • Pressor and depressor responses after cholinergic blockade in humans.

    abstract：:To determine whether cholinergic mechanisms contribute to blood pressure responses during arterial baroreflex inhibition and stimulation, we assessed the effects of atropine on pressor and depressor responses during and after release of the Valsalva maneuver, upon administration of intravenous phenylephrine and nitrog...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/0002-8703(84)90837-8

    authors： Goldstein DS,Keiser HR

    更新日期：1984-05-01 00:00:00

  • Effects of exercise training on heart rate recovery in patients with chronic heart failure.

    abstract：BACKGROUND:Heart rate recovery (HRR) is a marker of vagal tone that is associated with survival, but little is known about the effects of exercise training on HRR in patients with heart failure (HF). METHODS:Twenty-four patients with HF were randomized to a 2-month residential rehabilitation program or to usual care. ...

    journal_title：American heart journal

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.ahj.2007.02.038

    authors： Myers J,Hadley D,Oswald U,Bruner K,Kottman W,Hsu L,Dubach P

    更新日期：2007-06-01 00:00:00

  • Hypertension in adults with repaired coarctation of the aorta.

    abstract：AIMS:In adults with coarctation of the aorta (CoA), hypertension (HTN) is a common long-term complication. We investigated the prevalence of HTN and analyzed factors associated with HTN. METHODS AND RESULTS:In the national register for congenital heart disease, 653 adults with repaired CoA were identified (mean age 36...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/j.ahj.2016.07.012

    authors： Rinnström D,Dellborg M,Thilén U,Sörensson P,Nielsen NE,Christersson C,Johansson B

    更新日期：2016-11-01 00:00:00

  • Rationale and design of a randomized controlled trial of pneumococcal polysaccharide vaccine for prevention of cardiovascular events: The Australian Study for the Prevention through Immunization of Cardiovascular Events (AUSPICE).

    abstract：BACKGROUND:Research has shown that vaccination with Streptococcus pneumoniae reduced the extent of atherosclerosis in experimental animal models. It is thought that phosphorylcholine lipid antigens in the S. pneumoniae cell wall induce the production of antibodies that cross-react with oxidized low-density lipoprotein,...

    journal_title：American heart journal

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.1016/j.ahj.2016.04.003

    authors： Ren S,Hure A,Peel R,D'Este C,Abhayaratna W,Tonkin A,Hopper I,Thrift AG,Levi C,Sturm J,Durrheim D,Hung J,Briffa T,Chew DP,Anderson P,Moon L,McEvoy M,Hansbro P,Newby D,Attia J,AUSPICE study group.

    更新日期：2016-07-01 00:00:00

  • Pulmonary valve fluttering in subpulmonic ventricular septal defect.

    abstract：:Three patients with subpulmonic ventricular septal defect and pulmonary valve fluttering by echocardiography are presented. The echographic changes appear identical to that reported with infundibular pulmonic stenosis and the mechanism causing this fluttering is probably similar. ...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/s0002-8703(77)80336-0

    authors： Glasser SP,Baucum RW Jr

    更新日期：1977-07-01 00:00:00

  • Pathobiology of atherosclerosis and plaque complications.

    abstract：:To understand the process of atherosclerosis, the homeostatic and protective functions of the endothelium must be considered. The endothelium serves as the interface between blood flow and the vascular tissues. It normally regulates vascular tone and structure through the release of vasoactive substances and maintenan...

    journal_title：American heart journal

    pub_type： 杂志文章,评审

    doi：10.1016/0002-8703(94)90251-8

    authors： Dzau VJ

    更新日期：1994-12-01 00:00:00

  • Repatriation to referral hospital after reperfusion of STEMI patients transferred for primary percutaneous coronary intervention: Insights of a Canadian regional STEMI care system.

    abstract：BACKGROUND:In regional systems of ST-segment elevation myocardial infarction (STEMI) care, patients presenting to hospitals without percutaneous coronary intervention (PCI) are transferred to PCI-capable hospitals for primary PCI. Repatriation, a practice whereby such patients are transferred back to non-PCI referral h...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/j.ahj.2016.04.017

    authors： Ting R,Tejpal A,Finken L,Fisher M,Lefkowitz C,Parthasarathy H,Fallis B,Fosbol EL,Al-Shehri M,Kutryk M,Buller CE,Fam N,Graham JJ,Cheema AN,Bagai A

    更新日期：2016-07-01 00:00:00

  • Perioperative outcomes in reoperative cardiac surgery guided by cardiac multidetector computed tomographic angiography.

    abstract：BACKGROUND:Preoperative evaluation with contrast-enhanced multidetector computed tomographic angiography (MDCTA) is considered an "appropriate" indication based on expert consensus. We aimed to evaluate how the presurgical evaluation with MDCTA impacts the outcomes after reoperative cardiac surgery (RCS). METHODS:We r...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/j.ahj.2009.11.005

    authors： Maluenda G,Goldstein MA,Lemesle G,Weissman G,Weigold G,Landsman MJ,Hill PC,Pita F,Corso PJ,Boyce SW,Pichard AD,Waksman R,Taylor AJ

    更新日期：2010-02-01 00:00:00

  • Effects of intracoronary streptokinase in acute myocardial infarction.

    abstract：:Intracoronary streptokinase (SK) was administered to 11 patients with evolving acute transmural myocardial infarction 5.5 +/- 0.4 hours from the onset of symptoms. Ten patients (91%) had total coronary occlusion, and one had subocclusion of the vessel corresponding to the ECG site of infarction. Intracoronary nitrogly...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/0002-8703(81)90646-3

    authors： Cowley MJ,Hastillo A,Vetrovec GW,Hess ML

    更新日期：1981-12-01 00:00:00

  • Angiotensin inhibition in renovascular disease: a population-based cohort study.

    abstract：BACKGROUND:Angiotensin-converting enzyme inhibitors and angiotensin receptor blockers effectively reduce blood pressure in patients with renovascular disease (RVD); yet, randomized cardiovascular prevention trials of these drugs typically exclude individuals with this condition. PATIENTS AND METHODS:We studied the ass...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/j.ahj.2008.05.013

    authors： Hackam DG,Duong-Hua ML,Mamdani M,Li P,Tobe SW,Spence JD,Garg AX

    更新日期：2008-09-01 00:00:00

  • Significance of hypotension preceding fatal ventricular tachyarrhythmias in post-coronary obstruction sudden death.

    abstract：:While sudden death after acute myocardial infarction or ischemia most commonly occurs in the first few minutes, usually from tachyarrhythmias, little is known of associated hemodynamics. We monitored hemodynamics for 15 minutes following coronary embolization with mercury in 31 awake dogs. In 17 nonsurvivors, mean art...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/0002-8703(81)90131-9

    authors： Franciosa JA,Heckel R

    更新日期：1981-04-01 00:00:00

  • Ventricular ectopy in totally symptom-free subjects with defined coronary artery anatomy.

    abstract：:Ambulatory ECG recordings were obtained from 313 consecutive, totally symptom-free male subjects on whom cardiac catheterization was subsequently performed for occupational reasons. These recordings were examined for ventricular ectopy and the results were studied in relation to the findings on selective coronary angi...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/0002-8703(89)90405-5

    authors： Batchelor AJ,Kruyer WB,Hickman JR Jr

    更新日期：1989-06-01 00:00:00

  • Sudden coronary death in women.

    abstract：OBJECTIVES:The objective of this study was to examine prospectively the incidence, predisposing cardiovascular conditions, and risk factors for sudden death in women compared with men. METHODS AND RESULT:The study design was a prospective general population examination of a cohort of 2873 women for development of sudd...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1053/hj.1998.v136.90226

    authors： Kannel WB,Wilson PW,D'Agostino RB,Cobb J

    更新日期：1998-08-01 00:00:00

  • Correlation of "critical" left coronary artery lesions with positive submaximal exercise tests in patients with chest pain.

    abstract：:This study correlates the anatomic pathologic coronary anatomy found by arteriography in each of three groups of symptomatic patients, all with coronary artery disease, divided according to the magnitude of ST-segment depression after an adequate submaximal treadmill exercise test. Group I consists of 45 patients with...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/0002-8703(75)90080-0

    authors： Cheitlin MD,Davia JE,de Castro CM,Barrow EA,Anderson WT

    更新日期：1975-03-01 00:00:00

  • Right-sided valvular endocarditis: etiology, diagnosis, and an approach to therapy.

    abstract：:Right- and left-sided endocarditis are two distinct entities, both clinically and experimentally. As such, they require different clinical approaches. The accurate diagnosis of right-sided endocarditis rests largely on a high index of suspicion which is often raised in the case of an intravenous drug abuser with fever...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/0002-8703(86)90564-8

    authors： Robbins MJ,Soeiro R,Frishman WH,Strom JA

    更新日期：1986-01-01 00:00:00

  • Restenosis revisited: insights provided by quantitative coronary angiography.

    abstract：:In this editorial, the problem of restenosis after coronary balloon angioplasty and other transluminal interventions is reviewed from the perspective of quantitative coronary angiography. The review is largely based on the experience of the Thoraxcentre in the application of quantitative angiography to the study of re...

    journal_title：American heart journal

    pub_type： 社论

    doi：10.1016/0002-8703(93)90689-7

    authors： Serruys PW,Foley DP,Kirkeeide RL,King SB 3rd

    更新日期：1993-11-01 00:00:00

  • Long-term tissue coverage of a biodegradable polylactide polymer-coated biolimus-eluting stent: comparative sequential assessment with optical coherence tomography until complete resorption of the polymer.

    abstract：BACKGROUND:Biolimus-eluting stents (BESs) with a biodegradable polymer in abluminal coating achieve more complete coverage at 9 months compared with sirolimus-eluting stents (SESs) with a durable polymer, as assessed by optical coherence tomography (OCT). Whether this advantage persists or augments after complete resor...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/j.ahj.2011.09.005

    authors： Gutiérrez-Chico JL,Jüni P,García-García HM,Regar E,Nüesch E,Borgia F,van der Giessen WJ,Davies S,van Geuns RJ,Secco GG,Meis S,Windecker S,Serruys PW,di Mario C

    更新日期：2011-11-01 00:00:00

  • Longitudinal study in 18 cases of fetal supraventricular tachycardia: Doppler echocardiographic findings and pathophysiologic implications.

    abstract：:A longitudinal study was performed in nine nonhydropic and nine hydropic fetuses with supraventricular tachycardia (SVT). First, because of a lack of reference methods in utero, the validity of spatial (length and area) and temporal parameters for semiquantitative grading of atrioventricular (AV) valve regurgitation b...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/0002-8703(93)90997-n

    authors： Gembruch U,Redel DA,Bald R,Hansmann M

    更新日期：1993-05-01 00:00:00

  • Color Doppler echocardiographic assessment of the change in the mitral regurgitant volume.

    abstract：:We studied the possibility that a mitral regurgitant Doppler signal area on a two-dimensional color Doppler echocardiogram can reflect changes in mitral regurgitant volume in 24 patients with several types of mitral regurgitation. In 20 patients, mitral regurgitant Doppler signal areas were clear enough to measure. In...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/0002-8703(87)90502-3

    authors： Otsuji Y,Tei C,Kisanuki A,Natsugoe K,Kawazoe Y

    更新日期：1987-08-01 00:00:00

  • Mid-cavity obstruction in apical hypertrophy: Doppler evidence of diastolic intraventricular gradient with higher apical pressure.

    abstract：:Three cases of apical left ventricular hypertrophy demonstrating a sequestered small left ventricular apical cavity with complete systolic and partial diastolic intraventricular obstruction are described. Doppler studies revealed that flow from the apical chamber is aborted during early systole with further emptying d...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/0002-8703(88)90730-2

    authors： Zoghbi WA,Haichin RN,Quinones MA

    更新日期：1988-12-01 00:00:00

  • Brain natriuretic peptide predicts right heart failure in patients with acute pulmonary embolism.

    abstract：BACKGROUND:Plasma levels of brain natriuretic peptide (BNP) are increased in patients with left heart failure. In patients with severe pulmonary embolism (PE), primary right ventricular (RV) dysfunction is frequent. Little is known about BNP secretion in acute RV failure. METHODS:We prospectively studied 50 consecutiv...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/s0002-8703(03)00528-3

    authors： Krüger S,Graf J,Merx MW,Koch KC,Kunz D,Hanrath P,Janssens U

    更新日期：2004-01-01 00:00:00

  • Relation of left atrial V-wave/left ventricular systolic pressure ratio to mitral regurgitant volume.

    abstract：:Evaluation of mitral regurgitation is difficult whether invasive or noninvasive methods are used. The determination of the regurgitant volume itself cannot be done in clinical practice with reasonable accuracy. In six sheep with chronic mitral regurgitation, left ventricular and left atrial pressures were recorded wit...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/0002-8703(95)90009-8

    authors： Teien D,Jones M,Shiota T,Yamada I,Sahn DJ

    更新日期：1995-02-01 00:00:00

  • Neighborhood socioeconomic disparities and 1-year case fatality after incident myocardial infarction: the Atherosclerosis Risk in Communities (ARIC) Community Surveillance (1992-2002).

    abstract：BACKGROUND:Declines in case fatality post-myocardial infarction (MI) have been observed over the past 3 decades. Few studies report socioeconomic disparities in survival post-MI. METHODS:We assessed 1-year case fatality among 9,116 incident MI patients included in the Atherosclerosis Risk in Communities community surv...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/j.ahj.2012.10.022

    authors： Foraker RE,Patel MD,Whitsel EA,Suchindran CM,Heiss G,Rose KM

    更新日期：2013-01-01 00:00:00

  • Rationale and design of the Aquapheresis Versus Intravenous Diuretics and Hospitalization for Heart Failure (AVOID-HF) trial.

    abstract：BACKGROUND:In patients hospitalized with acutely decompensated heart failure, unresolved signs and symptoms of fluid overload have been consistently associated with poor outcomes. Regardless of dosing and type of administration, intravenous loop diuretics have not reduced heart failure events or mortality in patients w...

    journal_title：American heart journal

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.1016/j.ahj.2015.05.019

    authors： Costanzo MR,Negoianu D,Fonarow GC,Jaski BE,Bart BA,Heywood JT,Nabut JL,Schollmeyer MP

    更新日期：2015-09-01 00:00:00

  • Rationale and design of dal-PLAQUE: a study assessing efficacy and safety of dalcetrapib on progression or regression of atherosclerosis using magnetic resonance imaging and 18F-fluorodeoxyglucose positron emission tomography/computed tomography.

    abstract：:dal-PLAQUE is a placebo-controlled multicenter study designed to assess the effect of dalcetrapib on imaging measures of plaque inflammation and plaque burden. dal-PLAQUE is a multimodality imaging study in the context of the large dal-HEART Program. Decreased high-density lipoprotein cholesterol is linked to increase...

    journal_title：American heart journal

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.1016/j.ahj.2011.05.006

    authors： Fayad ZA,Mani V,Woodward M,Kallend D,Bansilal S,Pozza J,Burgess T,Fuster V,Rudd JH,Tawakol A,Farkouh ME

    更新日期：2011-08-01 00:00:00

  • Early and late outcome following deployment of a new flexible tantalum intracoronary stent in dogs.

    abstract：:A new radiopaque, highly flexible balloon-expandable tantalum stent was tested. Thirty-six of 40 stents were successfully deployed percutaneously in the coronary arteries of 31 dogs. The dogs were given aspirin before, intravenous heparin during, and aspirin alone after the procedure. One dog died at 24 hours because ...

    journal_title：American heart journal

    pub_type： 杂志文章

    doi：10.1016/0002-8703(92)90992-5

    authors： Muhlestein JB,Phillips HR,Quigley PJ,Bauman RP,Gammon RS,Chapman GD,Mikat EM,Palmos LE,Overman AB,Stack RS

    更新日期：1992-10-01 00:00:00