Abstract
In an era of coronary thrombolysis, quick and accurate differentiation of acute myocardial infarction from other mimicking entities is critical since thrombolysis in its early course is beneficial. Differential diagnosis of ST segment elevation in an electrocardiogram includes acute myocardial infarction, left ventricular aneurysm, Prinzmetal's angina, acute pericarditis and early repolarization. Less commonly, myocarditis, left ventricular hypertrophy and left bundle branch block pattern can cause ST segment elevation. The presence or absence of PR segment depression, q wave and reciprocal and evolutional changes should be evaluated as well as shape and location of ST segment elevation, ST segment axis and ST/T ratio. Administration of nitrate resolves electrocardiographic changes due to coronary spasm. Evaluation of left ventricular wall motion by echocardiogram is helpful.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 44-51 |
| Number of pages | 8 |
| Journal | Cardiovascular Reviews and Reports |
| Volume | 14 |
| Issue number | 8 |
| State | Published - 1993 |
| Externally published | Yes |
Fingerprint
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
Cite this
Differential diagnosis of ST segment elevation : Important and stressful diagnosis in an era of thrombolysis. / Fujise, Kenichi; Schweitzer, P.
In: Cardiovascular Reviews and Reports, Vol. 14, No. 8, 1993, p. 44-51.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Differential diagnosis of ST segment elevation
T2 - Important and stressful diagnosis in an era of thrombolysis
AU - Fujise, Kenichi
AU - Schweitzer, P.
PY - 1993
Y1 - 1993
N2 - In an era of coronary thrombolysis, quick and accurate differentiation of acute myocardial infarction from other mimicking entities is critical since thrombolysis in its early course is beneficial. Differential diagnosis of ST segment elevation in an electrocardiogram includes acute myocardial infarction, left ventricular aneurysm, Prinzmetal's angina, acute pericarditis and early repolarization. Less commonly, myocarditis, left ventricular hypertrophy and left bundle branch block pattern can cause ST segment elevation. The presence or absence of PR segment depression, q wave and reciprocal and evolutional changes should be evaluated as well as shape and location of ST segment elevation, ST segment axis and ST/T ratio. Administration of nitrate resolves electrocardiographic changes due to coronary spasm. Evaluation of left ventricular wall motion by echocardiogram is helpful.
AB - In an era of coronary thrombolysis, quick and accurate differentiation of acute myocardial infarction from other mimicking entities is critical since thrombolysis in its early course is beneficial. Differential diagnosis of ST segment elevation in an electrocardiogram includes acute myocardial infarction, left ventricular aneurysm, Prinzmetal's angina, acute pericarditis and early repolarization. Less commonly, myocarditis, left ventricular hypertrophy and left bundle branch block pattern can cause ST segment elevation. The presence or absence of PR segment depression, q wave and reciprocal and evolutional changes should be evaluated as well as shape and location of ST segment elevation, ST segment axis and ST/T ratio. Administration of nitrate resolves electrocardiographic changes due to coronary spasm. Evaluation of left ventricular wall motion by echocardiogram is helpful.
UR - http://www.scopus.com/inward/record.url?scp=0027275592&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0027275592&partnerID=8YFLogxK
M3 - Article
VL - 14
SP - 44
EP - 51
JO - Cardiovascular Reviews and Reports
JF - Cardiovascular Reviews and Reports
SN - 0197-3118
IS - 8
ER -