Use of the Electrocardiogram in Acute Myocardial Infarction
This review article describes the use of electrocardiograms in facilitating the clinical care of patients with acute myocardial infarction. Analysis of patterns of ST-segment elevation can help in making decisions about reperfusion therapy. Correct identification of arrhythmias and new conduction ab...
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| Veröffentlicht in: | The New England journal of medicine 2003-03, Vol.348 (10), p.933-940 |
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| creator | Zimetbaum, Peter J Josephson, Mark E |
| description | This review article describes the use of electrocardiograms in facilitating the clinical care of patients with acute myocardial infarction. Analysis of patterns of ST-segment elevation can help in making decisions about reperfusion therapy. Correct identification of arrhythmias and new conduction abnormalities is an important challenge.
The electrocardiogram remains a crucial tool in the identification and management of acute myocardial infarction. A detailed analysis of patterns of ST-segment elevation may influence decisions regarding the use of reperfusion therapy. The early and accurate identification of the infarct-related artery on the electrocardiogram can help predict the amount of myocardium at risk and guide decisions regarding the urgency of revascularization. Electrocardiographic signs of reperfusion represent an important marker of microvascular blood flow and consequent prognosis. The electrocardiogram is also crucial for identifying new conduction abnormalities and arrhythmias that influence both short- and long-term outcome. In this review, we discuss . . . |
| doi_str_mv | 10.1056/NEJMra022700 |
| format | Article |
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The electrocardiogram remains a crucial tool in the identification and management of acute myocardial infarction. A detailed analysis of patterns of ST-segment elevation may influence decisions regarding the use of reperfusion therapy. The early and accurate identification of the infarct-related artery on the electrocardiogram can help predict the amount of myocardium at risk and guide decisions regarding the urgency of revascularization. Electrocardiographic signs of reperfusion represent an important marker of microvascular blood flow and consequent prognosis. The electrocardiogram is also crucial for identifying new conduction abnormalities and arrhythmias that influence both short- and long-term outcome. In this review, we discuss . . .</description><identifier>ISSN: 0028-4793</identifier><identifier>EISSN: 1533-4406</identifier><identifier>DOI: 10.1056/NEJMra022700</identifier><identifier>PMID: 12621138</identifier><identifier>CODEN: NEJMAG</identifier><language>eng</language><publisher>Boston, MA: Massachusetts Medical Society</publisher><subject>Algorithms ; Arrhythmias, Cardiac - etiology ; Biological and medical sciences ; Cardiology. Vascular system ; Cardiovascular disease ; Coronary heart disease ; Coronary vessels ; Electrocardiography ; Electrocardiography. Vectocardiography ; Electrodiagnosis. Electric activity recording ; Heart ; Heart attacks ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Medical sciences ; Myocardial Infarction - classification ; Myocardial Infarction - complications ; Myocardial Infarction - diagnosis ; Myocardial Infarction - physiopathology ; Prognosis</subject><ispartof>The New England journal of medicine, 2003-03, Vol.348 (10), p.933-940</ispartof><rights>Copyright © 2003 Massachusetts Medical Society. All rights reserved.</rights><rights>2003 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c435t-9eb17a24c3efa995695567ce11ae7e189f83883afc323e37764492b502f304843</citedby><cites>FETCH-LOGICAL-c435t-9eb17a24c3efa995695567ce11ae7e189f83883afc323e37764492b502f304843</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.nejm.org/doi/pdf/10.1056/NEJMra022700$$EPDF$$P50$$Gmms$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/220165718?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,776,780,2745,2746,26082,27903,27904,52360,54042,64361,64363,64365,72215</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14577777$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12621138$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zimetbaum, Peter J</creatorcontrib><creatorcontrib>Josephson, Mark E</creatorcontrib><title>Use of the Electrocardiogram in Acute Myocardial Infarction</title><title>The New England journal of medicine</title><addtitle>N Engl J Med</addtitle><description>This review article describes the use of electrocardiograms in facilitating the clinical care of patients with acute myocardial infarction. Analysis of patterns of ST-segment elevation can help in making decisions about reperfusion therapy. Correct identification of arrhythmias and new conduction abnormalities is an important challenge.
The electrocardiogram remains a crucial tool in the identification and management of acute myocardial infarction. A detailed analysis of patterns of ST-segment elevation may influence decisions regarding the use of reperfusion therapy. The early and accurate identification of the infarct-related artery on the electrocardiogram can help predict the amount of myocardium at risk and guide decisions regarding the urgency of revascularization. Electrocardiographic signs of reperfusion represent an important marker of microvascular blood flow and consequent prognosis. The electrocardiogram is also crucial for identifying new conduction abnormalities and arrhythmias that influence both short- and long-term outcome. In this review, we discuss . . .</description><subject>Algorithms</subject><subject>Arrhythmias, Cardiac - etiology</subject><subject>Biological and medical sciences</subject><subject>Cardiology. Vascular system</subject><subject>Cardiovascular disease</subject><subject>Coronary heart disease</subject><subject>Coronary vessels</subject><subject>Electrocardiography</subject><subject>Electrocardiography. Vectocardiography</subject><subject>Electrodiagnosis. Electric activity recording</subject><subject>Heart</subject><subject>Heart attacks</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Medical sciences</subject><subject>Myocardial Infarction - classification</subject><subject>Myocardial Infarction - complications</subject><subject>Myocardial Infarction - diagnosis</subject><subject>Myocardial Infarction - physiopathology</subject><subject>Prognosis</subject><issn>0028-4793</issn><issn>1533-4406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNpt0E1Lw0AQBuBFFFurN88SRD0Z3dmPbIKnUqpWWr3Yc9huZzUlH3U3OfTfm5KAIs5lYHiYGV5CzoHeAZXR_ev0ZeE0ZUxRekCGIDkPhaDRIRlSyuJQqIQPyIn3G9oWiOSYDIBFDIDHQ_Kw9BhUNqg_MZjmaGpXGe3WWfXhdBFkZTA2TY3BYteNdR7MSqudqbOqPCVHVucez_o-IsvH6fvkOZy_Pc0m43loBJd1mOAKlGbCcLQ6SWSUSBkpgwAaFUKc2JjHMdfWcMaRKxUJkbCVpMxyKmLBR-Sm27t11VeDvk6LzBvMc11i1fhUcaoAgLbw8g_cVI0r299SxihEUkHcotsOGVd579CmW5cV2u1SoOk-0fR3oi2_6Hc2qwLXP7iPsAXXPdDe6Nw6XZrM_zgh1b5ad9W5ovBpiZvi_3vf3kuGJw</recordid><startdate>20030306</startdate><enddate>20030306</enddate><creator>Zimetbaum, Peter J</creator><creator>Josephson, Mark E</creator><general>Massachusetts Medical Society</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0TZ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K0Y</scope><scope>LK8</scope><scope>M0R</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20030306</creationdate><title>Use of the Electrocardiogram in Acute Myocardial Infarction</title><author>Zimetbaum, Peter J ; Josephson, Mark E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c435t-9eb17a24c3efa995695567ce11ae7e189f83883afc323e37764492b502f304843</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Algorithms</topic><topic>Arrhythmias, Cardiac - etiology</topic><topic>Biological and medical sciences</topic><topic>Cardiology. Vascular system</topic><topic>Cardiovascular disease</topic><topic>Coronary heart disease</topic><topic>Coronary vessels</topic><topic>Electrocardiography</topic><topic>Electrocardiography. Vectocardiography</topic><topic>Electrodiagnosis. Electric activity recording</topic><topic>Heart</topic><topic>Heart attacks</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Medical sciences</topic><topic>Myocardial Infarction - classification</topic><topic>Myocardial Infarction - complications</topic><topic>Myocardial Infarction - diagnosis</topic><topic>Myocardial Infarction - physiopathology</topic><topic>Prognosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zimetbaum, Peter J</creatorcontrib><creatorcontrib>Josephson, Mark E</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Pharma and Biotech Premium PRO</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>New England Journal of Medicine</collection><collection>ProQuest Biological Science Collection</collection><collection>Consumer Health Database</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The New England journal of medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zimetbaum, Peter J</au><au>Josephson, Mark E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Use of the Electrocardiogram in Acute Myocardial Infarction</atitle><jtitle>The New England journal of medicine</jtitle><addtitle>N Engl J Med</addtitle><date>2003-03-06</date><risdate>2003</risdate><volume>348</volume><issue>10</issue><spage>933</spage><epage>940</epage><pages>933-940</pages><issn>0028-4793</issn><eissn>1533-4406</eissn><coden>NEJMAG</coden><abstract>This review article describes the use of electrocardiograms in facilitating the clinical care of patients with acute myocardial infarction. Analysis of patterns of ST-segment elevation can help in making decisions about reperfusion therapy. Correct identification of arrhythmias and new conduction abnormalities is an important challenge.
The electrocardiogram remains a crucial tool in the identification and management of acute myocardial infarction. A detailed analysis of patterns of ST-segment elevation may influence decisions regarding the use of reperfusion therapy. The early and accurate identification of the infarct-related artery on the electrocardiogram can help predict the amount of myocardium at risk and guide decisions regarding the urgency of revascularization. Electrocardiographic signs of reperfusion represent an important marker of microvascular blood flow and consequent prognosis. The electrocardiogram is also crucial for identifying new conduction abnormalities and arrhythmias that influence both short- and long-term outcome. In this review, we discuss . . .</abstract><cop>Boston, MA</cop><pub>Massachusetts Medical Society</pub><pmid>12621138</pmid><doi>10.1056/NEJMra022700</doi><tpages>8</tpages></addata></record> |
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| subjects | Algorithms Arrhythmias, Cardiac - etiology Biological and medical sciences Cardiology. Vascular system Cardiovascular disease Coronary heart disease Coronary vessels Electrocardiography Electrocardiography. Vectocardiography Electrodiagnosis. Electric activity recording Heart Heart attacks Humans Investigative techniques, diagnostic techniques (general aspects) Medical sciences Myocardial Infarction - classification Myocardial Infarction - complications Myocardial Infarction - diagnosis Myocardial Infarction - physiopathology Prognosis |
| title | Use of the Electrocardiogram in Acute Myocardial Infarction |
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