该分析强烈支持区域系统的价值,包括跨区域的数据收集和反馈,以改善ST段抬高型心肌梗死患者的护理和预后。 This experience reinforces the recommendations in US and European clinical practice guidelines to establish regional systems of care for patients ...
When left ventricular hypertrophy (LVH) is present, the voltage on the 12-lead ECG is frequently increased; however, ST segment changes can also occur with LVH, mimicking STEMI or ischemic ST segment depressions. This is referred to as “LVH with strain” or “LVH with repolarizat...
Methods 12-lead ECGs from 274 STEMI patients, who underwent primary PCI at the Academic Medical Centre University of Amsterdam between January 1, 2005, and December 31, 2005, were analyzed. Pre-and post procedural ECGs were graded on ischemia using the Sclarovsky-Birnbaum criteria. Univariable 1...
Methods: In this study, we retrospectively surveyed the current practice on the basis of ST-elevation myocardial infarction (STEMI) criteria in patients with acute coronary artery occlusion presenting with inferior myocardial infarction. We examined the ...
Anterior lead ST elevation or left bundle branch block (1 point) – this TIMI STEMI score serves patients with ST-elevation myocardial infarction. The new left bundle branch block (LBBB) was considered to be an ECG infarction phenomenon for a long time, but now its role has been diminished,...
We utilise “STEMI criteria” in everyday practice but conveniently ignore the 2.5mm STE on the ECG of a 30-year-old male with benign sounding chest pain, whilst scrutinising over the trace STE in an 80-year-old female with ischaemic-sounding chest pain. The term “STEMI equivalent” is ...
” lead author Manuel Almendro-Delia, MD, PhD (Hospital Universitario Virgen Macarena, Seville, Spain), told TCTMD. However, he said, the study is too small to warrant a change in practice at this time: “This is the first time we have demonstrated a response relationship in this setting....
This transition can lead to a notable delay in the reperfusion amplifying the risk of morbidity and mortality of the patient. In the current era of routine TRA strategy, the impact of failed TRA on the prognosis in patients who underwent PCI because of STEMI remains unclear. Hence, the ...
Effects of prehospital 12-lead ECG on processes of care and mortality in acute coronary syndrome: a linked cohort study from the Myocardial Ischaemia Natio... OBJECTIVE: To describe patterns of prehospital ECG (PHECG) use and determine its association with processes and outcomes of care in patien...
Recently, however, it has been suggested by some that so-called “modern” DAPT consisting of aspirin and a novel P2Y12-inhbitor, such as ticagrelor, might be a reasonable alternative to TATT in pPCI patients. The practice shift at the CHUS since 2013 is an example of the attractiveness ...