Consideration of pitfalls in and omissions from the current ECG standards for diagnosis of myocardial ischemia/infarction in patients who have acute coronary syndromes

Galen Wagner, Tobin Lim, Leonard Gettes, Anton Gorgels, Mark Josephson, Hein Wellens, Stanley Anderson, Rory Childers, Peter Clernmensen, Paul Kligfield, Peter Macfarlane, Olle Pahlm, Ronald Selvester

Research output: Contribution to journalArticlepeer-review

Abstract

The ECG is the key clinical test available for the emergency determination of which patients who presenting with acute coronary syndromes indeed have acute myocardial ischemia/infarction. Because typically the etiology is thrombosis, the correct clinical decision regarding reperfusion therapy is crucial. This review follows the efforts of an AHA working group to develop new standards for clinical application of electrocardiology. The pitfalls in the current diagnostic standards regarding ischemia/infarction that have been identified by sufficiently documented studies are corrected in their report. This article focuses on the pitfalls for which new standards will emerge in future years.
Original languageEnglish
Pages (from-to)331
JournalCardiology Clinics
Volume24
Issue number3
DOIs
Publication statusPublished - 2006

Subject classification (UKÄ)

  • Cardiac and Cardiovascular Systems
  • Respiratory Medicine and Allergy

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