The correlation between presenting ST-segment depression and the final size of acute myocardial infarcts in patients with acute coronary syndromes

Wail Asfour; Samuel Bell; Ali M Amkieh; Elena B Sgarbossa; Ruba K Azzam; Peter Clemmensen; Mauricio Cohen; Eric Eisenstein; Shaun Goodman; Liliana Grinfeld; Lene Holmvang; Charles Maynard; Olle Pahlm; Ronald H Selvester; Bo Heden; Akbar Shah; Creighton Vaught; Robert A Warner; David L Glancy; Galen S Wagner; Alejandro Barbagelata

doi:10.1054/jelc.2000.20338

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The correlation between presenting ST-segment depression and the final size of acute myocardial infarcts in patients with acute coronary syndromes

Journal article

Peer reviewed

The correlation between presenting ST-segment depression and the final size of acute myocardial infarcts in patients with acute coronary syndromes

Wail Asfour, Samuel Bell, Ali M Amkieh, Elena B Sgarbossa, Ruba K Azzam, Peter Clemmensen, Mauricio Cohen, Eric Eisenstein, Shaun Goodman, Liliana Grinfeld, …

Journal of electrocardiology, Vol.33, pp.61-63

2000

DOI: https://doi.org/10.1054/jelc.2000.20338

PMID: 11269243

Abstract

Q wave MI

Selvester score

Non Q wave MI

ST segment depression

The use of reperfusion therapy in patients with ST elevation acute coronary syndromes had been established. However, reperfusion therapy is usually considered contra-indicated in those with ST depression, despite the knowledge that regional posterior infarction is typically indicated by ST depression maximal in leads V 1 to V 3 and nonregional subendocardial infarction is typically indicated by marked ST depression maximal in other leads. This study of patients with non-ST-elevation acute coronary syndromes investigates the quantitative relationship between presenting ST depression and final QRS changes in both of these subgroups. The final QRS score was significantly higher (2.44 points) than that of a control group with not ST depression, (1.55 points) in the group with maximal ST depression in V 1 to V 3 ( P=0.04). However, in the entire population, there was a highly significant correlation ( P=.003) between the sum of the presenting ST depression and the final QRS score. Trials of reperfusion therapy will be required to determine if such evolution to electrocardiogram documented acute myocardial infarction can be prevented in patient with marked ST depression acute coronary syndromes.

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Collaboration types: Domestic collaboration
Citation topics: 1 Clinical & Life Sciences; 1.71 Cardiology - Circulation; 1.71.193 Acute Myocardial Infarction
Web Of Science research areas: Cardiac & Cardiovascular Systems
ESI research areas: Clinical Medicine

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Details

Title: The correlation between presenting ST-segment depression and the final size of acute myocardial infarcts in patients with acute coronary syndromes
Creators: Wail Asfour - Department of Cardiology, Louisiana State University, New Orleans, La, USA
Samuel Bell - Department of Cardiology, Louisiana State University, New Orleans, La, USA
Ali M Amkieh - Department of Cardiology, Louisiana State University, New Orleans, La, USA
Elena B Sgarbossa - Department of Cardiology, Louisiana State University, New Orleans, La, USA
Ruba K Azzam - Department of Cardiology, Louisiana State University, New Orleans, La, USA
Peter Clemmensen - Department of Cardiology, Louisiana State University, New Orleans, La, USA
Mauricio Cohen - Department of Cardiology, Louisiana State University, New Orleans, La, USA
Eric Eisenstein - Department of Cardiology, Louisiana State University, New Orleans, La, USA
Shaun Goodman - Department of Cardiology, Louisiana State University, New Orleans, La, USA
Liliana Grinfeld - Department of Cardiology, Louisiana State University, New Orleans, La, USA
Lene Holmvang - Department of Cardiology, Louisiana State University, New Orleans, La, USA
Charles Maynard - Department of Cardiology, Louisiana State University, New Orleans, La, USA
Olle Pahlm - Department of Cardiology, Louisiana State University, New Orleans, La, USA
Ronald H Selvester - Department of Cardiology, Louisiana State University, New Orleans, La, USA
Bo Heden - Department of Cardiology, Louisiana State University, New Orleans, La, USA
Akbar Shah - Department of Cardiology, Louisiana State University, New Orleans, La, USA
Creighton Vaught - Department of Cardiology, Louisiana State University, New Orleans, La, USA
Robert A Warner - Department of Cardiology, Louisiana State University, New Orleans, La, USA
David L Glancy - Department of Cardiology, Louisiana State University, New Orleans, La, USA
Galen S Wagner - Department of Cardiology, Louisiana State University, New Orleans, La, USA
Alejandro Barbagelata - Department of Cardiology, Louisiana State University, New Orleans, La, USA
Publication Details: Journal of electrocardiology, Vol.33, pp.61-63
Publisher: Elsevier Inc
Academic Unit: Miller School of Medicine; UMMG Dept of Medicine - Cardiovascular
Language: English
Resource Type: Journal article
PMID: 11269243
Record Identifier: 991031600759202976