Document Detail


Electrocardiogram dynamics for risk stratification in ST-segment elevation myocardial infarction--immediate and serially updated information on outcome.
MedLine Citation:
PMID:  16962128     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Early and serially updated predictions of final infarct-size and clinical outcome--before, during and after reperfusion treatment of ST-elevation myocardial infarction might allow a more individualized treatment: High-risk patients with a predicted major loss of viable myocardium can be identified immediately or during therapy, at a stage when treatment may still be modified; and low-risk patients with predictions of small infarcts and good outcome already after standard primary reperfusion therapy can be identified and thereby avoid a possibly harmful intensified treatment. The necessary information for such predictions seem to be available from the standard 12-lead ECG and from ST-segment monitoring. Today this information, however, is not readily available in clinical practice. Automated algorithms need to be engineered for a broader use and for possibilities of a refined triage and thus for a more individualized strategy of reperfusion therapy.
Authors:
Per Johanson
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Publication Detail:
Type:  Journal Article; Review     Date:  2006-09-07
Journal Detail:
Title:  Journal of electrocardiology     Volume:  39     ISSN:  1532-8430     ISO Abbreviation:  J Electrocardiol     Publication Date:  2006 Oct 
Date Detail:
Created Date:  2006-10-03     Completed Date:  2006-11-09     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0153605     Medline TA:  J Electrocardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S75-8     Citation Subset:  IM    
Affiliation:
Department of Medicine/Cardiology, Coronary Intensive Care Unit, Sahlgrenska University Hospital, Ostra, 416 85 Göteborg, Sweden. pj@hjl.gu.se
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MeSH Terms
Descriptor/Qualifier:
Arrhythmias, Cardiac / complications,  diagnosis*,  surgery*
Electrocardiography / methods*
Humans
Myocardial Infarction / diagnosis*,  surgery*
Myocardial Reperfusion*
Outcome Assessment (Health Care) / methods
Prognosis
Risk Assessment / methods*
Risk Factors
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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