Pitfalls in diagnosing ST elevation among patients with acute myocardial infarction.
J Electrocardiol
; 46(6): 653-9, 2013.
Article
en En
| MEDLINE
| ID: mdl-23890685
ABSTRACT
OBJECTIVES:
Patients with ST elevation (STE) in ≥ 2 leads or ST depression (STD) confined to V1-V4 are defined as potential STE myocardial infarction (STEMI). We evaluated the incidence of missed STEMI over an 11-month period.METHODS:
Consecutive patients with a discharge diagnosis of non STEMI were retrospectively evaluated. Clinical data, ECG and angiographic data were reviewed.RESULTS:
Of the 198 patients screened, 140 were included. Forty-nine patients (35%) met the STEMI criteria 6 (12%) had STD confined to V1-V3, 20 (41%) had STD in V1-V6, 7 (14%) had STE in V1-V3, 2 (4%) had STE in I and aVL, 11 (22%) had STE in inferior leads, and 6 (12%) had STE in V4-V6.CONCLUSIONS:
A significant percentage of patients met STEMI ECG criteria. A large number of patients with STD in V1-V6 had angiographic evidence compatible with inferolateral (posterior) STEMI equivalent.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Errores Diagnósticos
/
Electrocardiografía
/
Infarto del Miocardio
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
/
Incidence_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Female
/
Humans
/
Male
/
Middle aged
País/Región como asunto:
America do norte
Idioma:
En
Revista:
J Electrocardiol
Año:
2013
Tipo del documento:
Article
País de afiliación:
Estados Unidos