Common pitfalls in the interpretation of electrocardiograms from patients with acute coronary syndromes with narrow QRS: a consensus report

被引：46

作者：

Birnbaum, Yochai ^{[1
]}

Bayes de Luna, Antonio ^{[2
]}

Fiol, Miquel ^{[3
]}

Nikus, Kjell ^{[4
]}

Macfarlane, Peter ^{[5
]}

Gorgels, Anton ^{[6
]}

Sionis, Alessandro

Cinca, Juan

Barrabes, Jose A. ^{[7
]}

Pahlm, Olle ^{[8
]}

Sclarovsky, Samuel ^{[9
]}

Wellens, Hein

Gettes, Leonard ^{[10
]}

机构：

[1] Baylor Coll Med, Dept Med, Cardiol Sect, John S Dunn Chair Cardiol Res & Educ, Houston, TX 77030 USA

[2] Hosp Santa Creu & Sant Pau, Inst Catala Ciencies Cardiovasc, Barcelona, Spain

[3] Hosp Son Espases, Palma De Mallorca, Spain

[4] Tampere Univ Hosp, Ctr Heart, Tampere, Finland

[5] Univ Clin Cardiovasc Dis, Glasgow, Lanark, Scotland

[6] Maastrich Univ, Med Ctr, Maastricht, Netherlands

[7] Hosp Valle De Hebron, Barcelona, Spain

[8] Univ Lund Hosp, Lund, Sweden

[9] Tel Aviv Univ, Tel Aviv, Israel

[10] Univ N Carolina, Chapel Hill, NC USA

来源：

JOURNAL OF ELECTROCARDIOLOGY | 2012年 / 45卷 / 05期

关键词：

Electrocardiogram; Acute coronary syndromes; ST elevation; ST depression; T wave; ST-SEGMENT ELEVATION; ACUTE MYOCARDIAL-INFARCTION; LEFT MAIN; INTERNATIONAL-SOCIETY; LEAD AVR; ARTERY-OCCLUSION; ECG PATTERN; T-WAVES; DEPRESSION; DISEASE;

D O I：

10.1016/j.jelectrocard.2012.06.011

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Acute coronary syndromes (ACS) with narrow QRS are divided into 2 groups: ST-elevation ACS that requires emergency percutaneous coronary intervention, and non-ST elevation ACS. The classification of ACS into these 2 groups is not always straightforward. In this document, we discuss several electrocardiogram patterns of acute ischemia that are often misinterpreted. We suggest that any new recommendations or guidelines from the Scientific Societies should acknowledge these aspects of electrocardiogram interpretation by including appropriate diagnostic criteria that should prove helpful for the optimal management of patients with ACS. (C) 2012 Elsevier Inc. All rights reserved.

引用

页码：463 / 475

页数：13

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