Document Detail

From ST-elevation myocardial infarction to ST elevation with no myocardial infarction--review and overview of a new horizon of computerized electrocardiographic ischemia detection using high-fidelity implantable devices.
MedLine Citation:
PMID:  19853729     Owner:  NLM     Status:  MEDLINE    
ST-segment elevation is the clinical hallmark of ST-elevation myocardial infarction; however pathophysiologically ST elevation occurs in association with acute coronary occlusion long before any myocardial necrosis occurs, for example. with no myocardial infarction (MI). The clinical utility of these laboratory observations has previously been limited; however, with the advent of permanently implantable high-fidelity electrocardiogram monitors, such utility constitutes a new horizon for high-risk patients. Rapidly progressive changes in the endocardial electrogram, with real-time alarms, could shift the timing, and hence the paradigm of care from interruption of MI to prevention of MI.
Mitchell W Krucoff
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of electrocardiology     Volume:  42     ISSN:  1532-8430     ISO Abbreviation:  J Electrocardiol     Publication Date:    2009 Nov-Dec
Date Detail:
Created Date:  2009-10-26     Completed Date:  2010-01-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0153605     Medline TA:  J Electrocardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  487-93     Citation Subset:  IM    
Duke University Medical Center, Duke Clinical Research Institute, 508 Fulton Street (111A), Durham, NC 27705, USA.
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MeSH Terms
Diagnosis, Computer-Assisted / instrumentation*,  methods
Electrocardiography, Ambulatory / instrumentation*
Equipment Design
Equipment Failure Analysis
Myocardial Infarction / diagnosis*,  prevention & control*
Prostheses and Implants*
Reproducibility of Results
Sensitivity and Specificity

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

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