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Electrocardiographic Patterns Mimicking ST Segment Elevation Myocardial Infarction.
MedLine Citation:
PMID:  23102035     Owner:  NLM     Status:  In-Data-Review    
The 12-lead electrocardiogram (ECG) remains the cornerstone of prompt diagnosis of STEMI; Furthermore, the 12-lead ECG provides the primary indication for emergent reperfuison therapy in the STEMI patient. In certain cases, a patient's ECG can resemble STEMI yet manifest ST-segment elevation from a non-coronary-based syndrome; these entities are termed the STEMI mimics and include benign early repolarization, acute pericarditis, and left ventricular aneurysm, to name only a few. In other situations, the patient's ECG makes it difficult or impossible to determine whether STEMI is present, the so-called STEMI confounders and include left bundle branch block pattern, left ventricular hypertrophypattern, and the ventricular paced pattern. The goal with STEMI mimics and confounders is to maximize rapid, accurate diagnosis while avoiding delays in treatment of alternative causes of ST-segment elevation.
Peter Pollak; William Brady
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Publication Detail:
Type:  Journal Article     Date:  2012-10-01
Journal Detail:
Title:  Cardiology clinics     Volume:  30     ISSN:  1558-2264     ISO Abbreviation:  Cardiol Clin     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-10-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8300331     Medline TA:  Cardiol Clin     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  601-15     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 Elsevier Inc. All rights reserved.
Division of Cardiovascular Medicine, Department of Medicine, University of Virginia School of Medicine, Lee Street, Charlottesville, VA 22908, USA.
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