| Electrocardiographic diagnosis of myocardial ischemia in children: is a diagnostic electrocardiogram always diagnostic? | |
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MedLine Citation:
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PMID: 17671071 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Electrocardiographic criteria for the diagnosis of cardiac ischemia in adults are well defined; however, analogous criteria for the diagnosis of cardiac ischemia in infants and children remain ambiguous. The difficulty in defining electrocardiographic criteria in pediatrics relates to age-dependent differences in the pediatric electrocardiogram, the presence or absence of congenital heart disease, and multiple and diverse etiologies of myocardial injury that lead to an ischemic pattern on the electrocardiogram. In this report, we illustrate 3 pediatric cases in which the electrocardiogram met adult diagnostic criteria for acute transmural myocardial infarction, without coronary artery abnormalities in 2 cases and with a transient coronary abnormality in the third. In conclusion, ST-segment changes diagnostic of transmural myocardial infarction in adults may be seen in pediatric patients in the absence of coronary artery occlusion. |
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Authors:
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Avihu Z Gazit; Jennifer N Avari; David T Balzer; Edward K Rhee |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Pediatrics Volume: 120 ISSN: 1098-4275 ISO Abbreviation: Pediatrics Publication Date: 2007 Aug |
Date Detail:
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Created Date: 2007-08-02 Completed Date: 2007-08-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0376422 Medline TA: Pediatrics Country: United States |
Other Details:
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Languages: eng Pagination: 440-4 Citation Subset: AIM; IM |
Affiliation:
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Division of Pediatric Cardiology, Washington University School of Medicine-St Louis Children's Hospital, St Louis, Missouri, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Child Child, Preschool Coronary Vessel Anomalies / diagnosis, physiopathology Electrocardiography / methods*, standards Humans Infant Male Myocardial Ischemia / diagnosis*, physiopathology* Retrospective Studies |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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