This guide to the proper use of the ECG in diagnosing acute myocardial infarction puts the combined experience of international authorities at your fingertips for immediate use. In The 12 Lead ECG in ST Elevation MI: A Practical Approach for Clinicians, Drs. Bayés de Luna, Fiol-Sala and Antman supply the practical, specific information you need to determine which patients with ACS are showing ST elevation.To facilitate correct diagnosis and guide management, the authors use a consistent sequence to explain the ECG abnormalities for each site of coronary occlusion. A schematic of the coronary tree illustrates the point of occlusion.The second part of the book contains a self-assessment section with a series of 15 cases, each of which includes one or more 12-lead ECGs for analysis. These valuable examples help you prepare for on-the-spot interpretation in the emergency department or intensive care unit.
Author(s): Antonio Bayes de Luna, Miquel Fiol-Sala, Elliot M. Antman
Edition: 1
Year: 2007
Language: English
Pages: 99
The 12-Lead ECG in ST Elevation Myocardial Infarction......Page 2
Contents......Page 4
Foreword......Page 6
Introduction......Page 8
The heart walls and their segmentation: the importance of uniform nomenclature......Page 10
Coronary circulation: the perfusion of the heart walls......Page 14
2 The ECG changes in ST elevation-myocardial infarction......Page 18
3 The concept of the injury vector: direct and reciprocal patterns......Page 20
Location of the occlusion and risk stratification: the role of deviations of the ST-segment......Page 24
1. From the occluded artery to the area at risk and the corresponding electrocardiographic abnormality......Page 25
2. From the electrocardiographic pattern to the occluded artery and the area at risk......Page 53
Other characteristics of ST elevation regarding prognosis......Page 60
ST changes in patients with ischemia due to multivessel occlusion......Page 61
5 Conclusions......Page 64
6 Self-assessment......Page 68
References......Page 102
Index......Page 106
