Electrocardiographic ST-segment changes during acute myocardial ischemia.
作者： B. Milan Horáček , Galen S. Wagner
关键词: Medicine 、 Ventricular myocardium 、 Electrocardiographic ST segment changes 、 Myocardial infarction 、 Electrocardiography in myocardial infarction 、 Cardiology 、 Angioplasty 、 Internal medicine 、 Ischemia 、 Myocardial ischemia
摘要: The recognition and management of patients with acute coronary syndromes has relied to a large extent onthe standard 12-lead electrocardiogram (ECG) for assessing ST-segment changes associated ischemia.The purpose this review is show both the capabilities limitations ECG in recognizingischemia, seek alternative electrocardiographic leads, optimized detection ischemia originating indifferent regions ventricular myocardium. Three such leads are proposed—based on results obtainedby body-surface mapping performed during induced by balloon-inflation coronaryangioplasty. A survey recent clinical studies shows that manifestations acutemyocardial observed angioplasty agreement measurements inadmission ECGs myocardial infarction.
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