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Electrocardiography in myocardial infarction diagnosis: a view through the prism of guidelines (Lecture)
https://doi.org/10.33667/2078-5631-2024-6-16-20
Abstract
Electrocardiography (ECG) is considered as an essential step in acute coronary syndrome (ACS) diagnostic algorithm. Сurrent classification is based on the ECG changes of ST-segment and includes ACS with persistent ST elevation and without persistent ST elevation. ACS with persistent ST elevation is characterized by prolonged (more than 20 min) ST-segment elevation exceeding 0.1 mV in two or more contiguous ECG leads (except V2–3 as well as aVR). When the symptoms of acute myocardial ischemia are present, ECG should be recorded within 10 minutes from the first contact with a medical professional. Some changes on the initial ECG of a patient with ACS may be nonspecific or absent, so the key role in diagnosis is given to the clinical presentation and the ECG in dynamics.
About the Authors
Yu. N. Fedulaev
Federal State Autonomous Educational Institution of Higher Education «N.I. Pirogov Russian National Research Medical University» of the Ministry of Health of
the Russian Federation
Russian Federation
Russian Federation
Fedulaev Yuri N., Doctor of Medical Sciences, professor, physician of superior expert category in functional diagnostics, head of Department of Faculty Therapy of Pediatric Faculty
I. V. Makarova
Federal State Autonomous Educational Institution of Higher Education «N.I. Pirogov Russian National Research Medical University» of the Ministry of Health of
the Russian Federation
Russian Federation
Russian Federation
Makarova Irina V., PhD Med, assistant professor of Department of Faculty Therapy of Pediatric Faculty
T. V. Pinchuk
Federal State Autonomous Educational Institution of Higher Education «N.I. Pirogov Russian National Research Medical University» of the Ministry of Health of
the Russian Federation
Russian Federation
Russian Federation
Pinchuk Tatiana V., PhD Med, assistant professor, assistant professor of Department of Faculty Therapy of Pediatric Faculty
G. A. Khairetdinova
Federal State Autonomous Educational Institution of Higher Education «N.I. Pirogov Russian National Research Medical University» of the Ministry of Health of
the Russian Federation
Russian Federation
Russian Federation
Khairetdinova Gulfiya A., PhD Med, assistant professor of Department of Faculty Therapy of Pediatric Faculty
References
1. Guidelines of the Russian Ministry of Health. Acute STsegment elevation myocardial infarction, 2020. https://cr.minzdrav.gov. ru/recomend/157_4
2. ByrneR. A., Rossello X., Coughlan J. J., Barbato E., Berry C., Chieffo A., et al. 2023 ESC Guidelines for the management of acute coronary syndromes. European heart journal. 2023; 44(38): 3720–3826. https://doi.org/10.1093/ eurheartj/ehad191
3. Torelli E., Sardeo F., Nuzzo E., et al. Wellens Syndrome without chest pain, is it possible? European review for medical and pharmacological sciences. 2020; 24(14): 7718–7721. https://doi.org/10.26355/eurrev_202007_22275
4. Das D., Almajed N. S. Wellens syndrome. Canadian Medical Association journal. 2016; 188(7): 529. https://doi.org/10.1503/cmaj.150550
5. de WinterR.W., Adams R., VeroudenN. J., de WinterR. J.Precordial junctional ST-segment depression with tall symmetric T-waves signifying proximal LAD occlusion, case reports of STEMI equivalence. Journal of electrocardiology. 2016; 49(1): 76–80. https://doi.org/10.1016/j.jelectrocard.2015.10.005.
6. Nikus K., Birnbaum Y., Fiol-Sala M., Rankinen J., de Luna A. B. Conduction Disorders in the Setting of Acute STEMI. Current cardiology reviews. 2021; 17(1): 41–49. https://doi.org/10.2174/1573403X16666200702121937
7. Sgarbossa E. B., Pinski S. L., Barbagelata A., et al. Electrocardiographic diagnosis of evolving acute myocardial infarction in the presence of left bundle-branch block. GUSTO 1 (Global Utilization of Streptokinase and Tissue Plasminogen Activator for Occluded Coronary Arteries) Investigators. The New England journal of medicine. 1996; 334(8): 481–487. https://doi. org/10.1056/NEJM199602223340801.
8. Tabas J. A., Rodriguez R. M., SeligmanH. K., Goldschlager N. F. Electrocardio graphic criteria for detecting acute myocardial infarction in patients with left bundle branch block: a meta-analysis. Ann Emerg Med. 2008; 52(4): 329–336.e1. https://doi.org/10.1016/j.annemergmed.2007.12.006.
9. Orlov V. N. Guide to electrocardiography.— 8th ed., rev.— M.: Publishing Office “Medical Information Agency”, 2014. 560 p.
Review
For citations:
Fedulaev Yu.N., Makarova I.V., Pinchuk T.V., Khairetdinova G.A. Electrocardiography in myocardial infarction diagnosis: a view through the prism of guidelines (Lecture). Medical alphabet. 2024;1(6):16-20. (In Russ.) https://doi.org/10.33667/2078-5631-2024-6-16-20
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