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("ECG" OR "EKG") AND ("STEMI" OR "ST Elevation")

Yi-Hsueh Liu, Wen-Hsien Lee, Chun-Yuan Chu, Ho-Ming Su, Tsung-Hsien Lin, Hsueh-Yei Yen, Wen-Chol Voon, Wen-Ter Lai, Sheng-Hsiung Sheu, Po-Chao Hsu
RATIONALE: Infective endocarditis (IE) complicated with obstructive ST elevation myocardial infarction (STEMI) has been reported in the literature and which were mostly related to coronary artery embolism, obstruction, or compression. However, there has been no reported case discussing about IE complicated with nonobstructive STEMI. PATIENT CONCERNS: In this report, we report a 38-year-old female suffering from intermittent fever and was later diagnosed as IE. Initially antibiotic was given and mitral valve surgery was also arranged due to large vegetation with severe mitral regurgitation...
November 2018: Medicine (Baltimore)
Johanna E Bischof, Christine I Worrall, Stephen W Smith
OBJECTIVE: In the presence of inferior myocardial infarction (MI), ST depression (STD) in lead I has been claimed to be accurate for diagnosis of right ventricular (RV) MI. We sought to evaluate this claim and also whether ST Elevation (STE) in lead V1 would be helpful, with or without STD in V2. METHODS: Retrospective study of consecutive inferior STEMI, comparing ECGs of patients with, to those without, RVMI, as determined by angiographic coronary occlusion proximal to the RV marginal branch...
November 2018: Journal of Electrocardiology
Luigi Meloni, Maria Francesca Marchetti, Cristina Cacace, Michela Congia, Roberta Scotto, Piero Caddeo, Roberta Montisci
BACKGROUND: Pathological Q waves (QWs) in the first ECG recorded at hospital admission has been found to correlate with myocardial damage and mortality in STEMI patients. We investigated the association between new QWs recorded in the pre-hospital setting and adverse outcome during the hospital stay. METHODS: A pre-hospital ECG was recorded in 248 patients with STEMI who underwent primary PCI. Patients were divided into two groups based on the presence (n = 44, QWs) or absence (n = 204, non-QWs) of new QWs...
November 2018: Journal of Electrocardiology
Emrah Bozbeyoğlu, Emre Aslanger, Özlem Yıldırımtürk, Barış Şimşek, Can Yücel Karabay, Ayça Türer, Ömer Kozan, Muzaffer Değertekin
BACKGROUND: In a minority of the patients presenting with ST-segment elevation (STE) myocardial infarction (MI), electrocardiogram (ECG) may show a balanced STE in both anterior and inferior lead groups and may cause diagnostic confusion about involved myocardial territory. In this study, we sought ECG clues which may facilitate discriminating (1) MI location and then (2) culprit artery in patients with difficult-to-discern ECGs. MATERIAL AND METHODS: Consecutive patients with the diagnosis of STEMI were scanned and patients with ECGs displaying both anterior and inferior STE were enrolled...
November 2018: Journal of Electrocardiology
Thomas R Alexande, Nazir J SJuval, Arup Dasbiswas, Samir Kubba, R K Singh, Vikrama Raja
Background: Primary Sjogren's Syndrome (pSS) with Hypokalemic Periodic Paralysis(HPP) whether an association or a different clinical subset needs review. Aim: To generate a consensus on the importance of pharmaco-invasive therapy for STEMI patients when primary PCI cannot be expeditiously performed in metro and tier-I cities in India. Methodology: A total of 8 expert panel groups comprising 48 experts from Cardiology specialty in India were convened...
May 2018: Journal of the Association of Physicians of India
Ruben W de Winter, Rob Adams, Giovanni Amoroso, Yolande Appelman, Lucia Ten Brinke, Bart Huybrechts, Pieternel van Exter, Robbert J de Winter
INTRODUCTION: The prevalence of the junctional ST-depression with tall symmetrical T-waves in a field triage system for ST-Elevation Myocardial Infarction (STEMI) is unknown. MATERIAL AND METHODS: We prospectively collected all transmitted 12-lead electrocardiograms (ECGs) from the STEMI field triage system in Amsterdam from 2011 to 2013. Electrocardiograms with junctional ST-depression with tall symmetrical T-waves were recognized and angiographic documentation and clinical follow up were collected...
October 18, 2018: Journal of Electrocardiology
Akanksha Agrawal, Nuzhat Sayyida, Jorge Luis Penalver, Mary R Ziccardi
Introduction: Electrocardiographic changes imitating myocardial ischemia have been occasionally reported in patients with intra-abdominal pathology including acute pancreatitis. Case Report: A 60-year-old man with no past medical history presented to the emergency department (ED) after a syncopal episode. In ED, his vitals were stable. His ECG showed sinus bradycardia at 53 beats per minute, peaked T waves, 1 mm ST-segment elevation in leads II, III, and aVF, and 2 mm ST elevation in V3 as shown in the figures...
2018: Case Reports in Cardiology
T T Shen, J Geng, B B Yuan, C Chen, X J Zhou, Q J Shan
Objective: To investigate the risk factors of ventricular arrhythmias in patients with Brugada syndrome. Methods: Clinical data of 60 Brugada syndrome patients admitted in the department of cardiology of the First Affiliated Hospital of Nanjing Medical University from March 2003 to December 2016 were collected and retrospectively analyzed. The age at diagnosis was (43.2±13.1) years (0.6-83.0 years), 98.3% were males ( n= 59), and the patients were followed up to (92±41) months (12-169 months). The 12-lead surface electrocardiogram (ECG) recorded at the time of diagnosis and showing the highest type 1 ST elevation, either spontaneously or after provocative drug test, was used for the analysis...
November 24, 2018: Zhonghua Xin Xue Guan Bing za Zhi
Nuccia Morici, Stefano Savonitto, Luca A Ferri, Daniele Grosseto, Irene Bossi, Paolo Sganzerla, Giovanni Tortorella, Michele Cacucci, Maurizio Ferrario, Gabriele Crimi, Ernesto Murena, Stefano Tondi, Anna Toso, Nicola Gandolfo, Amelia Ravera, Elena Corrada, Matteo Mariani, Leonardo Di Ascenzo, A Sonia Petronio, Claudio Cavallini, Giancarlo Vitrella, Roberto Antonicelli, Federico Piscione, Renata Rogacka, Laura Antolini, Gianfranco Alicandro, Carlo La Vecchia, Luigi Piatti, Stefano De Servi
INTRODUCTION: Acute coronary syndromes have been classified according to the finding of ST-segment elevation on the presenting ECG, with different treatment strategies and practice guidelines. However, a comparative description of the clinical characteristics and outcomes of acute coronary syndrome elderly patients undergoing percutaneous coronary intervention during index admission has not been published so far. METHODS: Retrospective cohort study of patients enrolled in the Elderly-ACS 2 multicenter randomized trial...
November 14, 2018: American Journal of Medicine
A Aranda Hernandez, P Bonizzi, J Karel, R Peeters
This research presents a novel statistical model for diagnosing acute myocardial infarction (AMI). The model is based on features extracted from a reduced lead system consisting of a subset of three leads from the standard 12-lead ECG. We selected a set of relevant parameters commonly used in the clinical practice for ECG-based AMI diagnosis, namely ST elevation and T-wave maximum. We also selectedfeatures, not used in clinical practice, that were derived from vectorcardiography and computed on the reduced three-lead system (pseudo-VCG parameters)...
July 2018: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
Kristopher S Pfirman, Corey A White, Abiy Kelil, Hemant C Modi
BACKGROUND Brugada syndrome is a cardiac disorder associated with sudden death due to sodium channelopathy, most commonly the SCN5a mutation. There are 3 different patterns of electrocardiogram (ECG) changes characterized as type I, II, and III. ECG patterns consist of variations of incomplete RBBB and ST elevation in anterior precordial leads only. Treatment, if warranted, consists of implantable cardioverter-defibrillator. CASE REPORT A 63-year-old male presented with abdominal pain for 4 days that was persistent, and after further imaging, he was found to have hepatic metastases from a stage IV small cell carcinoma of the lung...
November 3, 2018: American Journal of Case Reports
Martin Studencan, Daniel Alusik, Lukas Plachy, Lubica Bajerovska, Michal Ilavsky, Jozef Karas, Adriana Kilianova, Juraj Sykora, Vladimir Hosa, Jan Kmec, Miroslav Slanina, Daniela Boguska
BACKGROUND: In the acute phase of STEMI, the length of the total ischemic interval is the principal factor affecting both short- and long-term mortality. The length of the interval remains a global problem, and in EU countries these figures vary between 160 and 325 min. METHODS AND RESULTS: The aim of our research was to assess the benefit of the systematic implementation of the new smartphone-based communication technology "STEMI" enabling immediate ECG picture and voice consultation between an EMS crew in the field and a cardiologist in the PCI-center...
2018: PloS One
Abdulelah Nuqali, Qaiser Shafiq, Mubbasher M Syed, Mujeeb Sheikh
BACKGROUND Non-atherosclerotic causes of ST-segment elevation myocardial infarction (STEMI) are uncommon, and there are few case reports of acute myocardial infarction secondary to coronary artery embolism. CASE REPORT A 66-year-old man presented with shortness of breath and leg swelling. Diagnoses of congestive heart failure and atrial fibrillation were made. He was electrically cardioverted to normal sinus rhythm. Coronary angiogram was performed to rule out ischemic etiology of new-onset systolic heart failure, and anticoagulation therapy was interrupted for cardiac catheterization...
November 2, 2018: American Journal of Case Reports
Jaume Figueras, Jordi Bañeras, Domenico Gruosso, Jose R Palomares, José A Barrabés, David Garcia-Dorado
BACKGROUND: The relationship between admission left ventricular (LV) volumes, regional contractility and persistent ST elevation in first anterior ST elevation myocardial infarction (STEMI) with evolution of LV volumes at 12 month remains inconclusive. Thus possible differences among patients with reverse dilatation (RD), stationary dilatation (SD) or progressive dilatation (PD) LV dilatation at 12 month based on left ventricle end-systolic volume (LVESV) index changes were investigated...
October 31, 2018: Coronary Artery Disease
Oumin Shi, Anam M Khan, Mohammad R Rezai, Cynthia A Jackevicius, Jafna Cox, Clare L Atzema, Dennis T Ko, Thérèse A Stukel, Laurie J Lambert, Madhu K Natarajan, Zhi-Jie Zheng, Jack V Tu
BACKGROUND: Compared to ST-segment elevation myocardial infarction (STEMI) patients who present at centres with catheterization facilities, those transferred for primary percutaneous coronary intervention (PCI) have substantially longer door-in to door-out (DIDO) times, where DIDO is defined as the time interval from arrival at a non-PCI hospital, to transfer to a PCI hospital. We aimed to identify potentially modifiable factors to improve DIDO times in Ontario, Canada and to assess the impact of DIDO times on 30-day mortality...
October 29, 2018: BMC Cardiovascular Disorders
Francesco Santoro, Thomas Stiermaier, Francesca Guastafierro, Nicola Tarantino, Ingo Eitel, Natale Daniele Brunetti
Standard pharmacological therapy in Takotsubo syndrome (TTS) is still debated and there is a lack of prospective data. In their recent work in BMC Cardiovascular Disorders Abanador-Kamper et al. found that stroke in TTS has an event rate of 2.8% after 30 days and 4.2% after 12 months and they question which patients need oral anticoagulation. According to our clinical data, TTS patients with LV thrombi may be at high risk of stroke. These patients are characterized by apical ballooning pattern, high prevalence of ST-elevation and higher troponin I levels...
October 29, 2018: BMC Cardiovascular Disorders
S S Anroedh, I Kardys, K M Akkerhuis, M Biekart, B van der Hulst, G J Deddens, P Smits, M Gardien, E Dubois, F Zijlstra, E Boersma
AIMS: In pre-hospital settings handled by paramedics, identification of patients with myocardial infarction (MI) remains challenging when automated electrocardiogram (ECG) interpretation is inconclusive. We aimed to identify those patients and to get them on the right track to primary percutaneous coronary intervention (PCI). METHODS AND RESULTS: In the Rotterdam-Rijnmond region, automated ECG devices on all ambulances were supplemented with a modem, enabling transmission of ECGs for online expert interpretation...
November 2018: Netherlands Heart Journal
Lukas Weidmann, Slayman Obeid, François Mach, Mohammady Shahin, Nooraldaem Yousif, Andrea Denegri, Olivier Muller, Lorenz Räber, Christian M Matter, Thomas F Lüscher
BACKGROUND: Influence of pre-existing treatment with aspirin and/or statins prior to a first acute coronary syndrome (ACS) on clinical presentation, infarct size and inflammation markers. We analyzed patients from the Swiss Program University Medicine ACS-cohort (SPUM-ACS; ClinicalTrials.govnumber:NCT01075867). METHODS: 1639 patients were categorized into 4 groups: (1)patients without either drug (n=1181); (2)patients only on aspirin (n=157); (3)patients only on statins (n=133) and (4)patients on both drugs (n=168)...
October 16, 2018: International Journal of Cardiology
Jonathan Lazari, Andrew Money-Kyrle, Benjamin R Wakerley
Cardiac cephalalgia is a migraine-like headache that occurs during episodes of myocardial ischaemia. Clinical characteristics of the headache vary widely but are often severe in intensity, worsen with reduced myocardial perfusion and resolve with reperfusion. It can present along with typical symptoms of angina pectoris, although not always. We present a 64-year-old man with a 6-month history of severe, non-exertional headaches occurring with increasing frequency. A resting ECG showed ST elevation in the inferior leads...
October 18, 2018: Practical Neurology
Michelle T Lee, Naddi Marah
About 350,000 cases of out-of-hospital cardiac arrest (OHCA) occur yearly in the United States. Unfortunately, even with treatment from emergency medical service (EMS) staff and hospitalization, only 12% survive past discharge for multiple reasons. Classically, Brugada syndrome (BrS) initially presents as a new syncopal episode in young males without obstructive coronary artery disease (CAD). However, in this case report, a patient who emergently presented with a ST-elevation myocardial infarction (STEMI) challenges the stereotypical presentation...
2018: Case Reports in Cardiology
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