Document Detail

Electrocardiographic diagnosis of myocardial ischemia in children: is a diagnostic electrocardiogram always diagnostic?
MedLine Citation:
PMID:  17671071     Owner:  NLM     Status:  MEDLINE    
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.
Avihu Z Gazit; Jennifer N Avari; David T Balzer; Edward K Rhee
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pediatrics     Volume:  120     ISSN:  1098-4275     ISO Abbreviation:  Pediatrics     Publication Date:  2007 Aug 
Date Detail:
Created Date:  2007-08-02     Completed Date:  2007-08-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376422     Medline TA:  Pediatrics     Country:  United States    
Other Details:
Languages:  eng     Pagination:  440-4     Citation Subset:  AIM; IM    
Division of Pediatric Cardiology, Washington University School of Medicine-St Louis Children's Hospital, St Louis, Missouri, USA.
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MeSH Terms
Child, Preschool
Coronary Vessel Anomalies / diagnosis,  physiopathology
Electrocardiography / methods*,  standards
Myocardial Ischemia / diagnosis*,  physiopathology*
Retrospective Studies

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