Klaus Fessele1, Martin Fandler2, Philipp Gotthardt3. 1. Klinik für Kardiologie, Zentrale Notaufnahme Klinikum Süd, Klinikum Nürnberg, Universitätsklinikum der Paracelsus Medizinischen Privatuniversität, Nürnberg, Deutschland. 2. Zentrale Notaufnahme, Sozialstiftung Bamberg/Klinikum Bamberg, Bamberg, Deutschland. 3. Zentrale Notaufnahme, Klinikum Fürth, Jakob-Henle-Str. 1, 90766, Fürth, Deutschland. ph.gotthardt@me.com.
Abstract
BACKGROUND: Obtaining an electrocardiogram (ECG) is the gold standard for initial diagnostics of atraumatic chest pain. To provide optimal patient care, the treating physician has to be proficient in recognizing early signs of myocardial ischemia. Information from the clinical assessment and typical ECG signs have to be recognized promptly in order to diagnose myocardial ischemia early. METHODS: A selective literature search in international databases (PubMed, Cochrane Library, Google Scholar) was conducted; current, topic-specific websites and literature were also included and evaluated. RESULTS: Several subtle ECG abnormalities exist besides the typical ST-elevation myocardial infarction (STEMI) and well-known STEMI equivalents and may point to possible myocardial ischemia. DISCUSSION: To fully evaluate the ECG in patients with atraumatic chest pain, typical signs of ischemia like STEMI as well as subtle ECG signs should be recognized to allow early cardiac intervention.
BACKGROUND: Obtaining an electrocardiogram (ECG) is the gold standard for initial diagnostics of atraumatic chest pain. To provide optimal patient care, the treating physician has to be proficient in recognizing early signs of myocardial ischemia. Information from the clinical assessment and typical ECG signs have to be recognized promptly in order to diagnose myocardial ischemia early. METHODS: A selective literature search in international databases (PubMed, Cochrane Library, Google Scholar) was conducted; current, topic-specific websites and literature were also included and evaluated. RESULTS: Several subtle ECG abnormalities exist besides the typical ST-elevation myocardial infarction (STEMI) and well-known STEMI equivalents and may point to possible myocardial ischemia. DISCUSSION: To fully evaluate the ECG in patients with atraumatic chest pain, typical signs of ischemia like STEMI as well as subtle ECG signs should be recognized to allow early cardiac intervention.
Authors: Ivan C Rokos; William J French; Amal Mattu; Graham Nichol; Michael E Farkouh; James Reiffel; Gregg W Stone Journal: Am Heart J Date: 2010-12 Impact factor: 4.749
Authors: H Pendell Meyers; Alexander T Limkakeng; Elias J Jaffa; Anjni Patel; B Jason Theiling; Salim R Rezaie; Todd Stewart; Cassandra Zhuang; Vijaya K Pera; Stephen W Smith Journal: Am Heart J Date: 2015-09-24 Impact factor: 4.749
Authors: Brian E Driver; Ayesha Khalil; Timothy Henry; Faraz Kazmi; Amina Adil; Stephen W Smith Journal: J Electrocardiol Date: 2017-04-19 Impact factor: 1.438
Authors: Johanna E Bischof; Christine Worrall; Peter Thompson; David Marti; Stephen W Smith Journal: Am J Emerg Med Date: 2015-10-03 Impact factor: 2.469