PMID- 15534817
OWN - NLM
STAT- MEDLINE
DCOM- 20050303
LR  - 20220309
IS  - 0022-0736 (Print)
IS  - 0022-0736 (Linking)
VI  - 37 Suppl
DP  - 2004
TI  - Modification of ACC/ESC criteria for acute myocardial infarction.
PG  - 98-103
AB  - The American College of Cardiology (ACC) and European Society of Cardiology (ESC) 
      recently proposed criteria for acute ST elevation myocardial infarction (STEMI). 
      These criteria were based on STj >0.1 mV in limbs leads and V4-V6, or STj >0.2 mV 
      in V1 to V3 with criteria being met in two contiguous leads. The criteria were 
      neither age nor sex dependent and the aim of the present study was to evaluate 
      whether or not improved STEMI criteria that were age and gender dependent could 
      be developed. A training set of 789 ECGs from patients presenting with chest pain 
      due to cardiac and other causes was available for study. Revised criteria for 
      STEMI were developed using these data as well as ECGs from a normal adult 
      population of 859 males and 637 females. A test set of ECGs was available in the 
      form of 1220 ECGs recorded from a separate hospital from patients presenting with 
      chest pain. 248 patients had an acute myocardial infarction on the basis of 
      conventional clinical criteria while 972 did not. There was an improvement in 
      sensitivity using the new criteria compared to the old criteria from 41.5% to 
      46.7% while specificity improved from 96.0% to 98.5%. Specificity in normals 
      improved from 92.6% to 99.8%. The conclusion drawn is that while the ACC/ESC 
      criteria are simple to apply, they are not particularly specific and can be 
      improved by being supplemented by other ECG measures and optimized for age and 
      sex.
FAU - Macfarlane, Peter W
AU  - Macfarlane PW
AD  - University of Glasgow, Section of Cardiology and Exercise Medicine, Royal 
      Infirmary, Glasgow G31 2ER. peter.w.macfarlane@clinmed.gla.ac.uk
FAU - Browne, David
AU  - Browne D
FAU - Devine, Brian
AU  - Devine B
FAU - Clark, Elaine
AU  - Clark E
FAU - Miller, Evan
AU  - Miller E
FAU - Seyal, Jodat
AU  - Seyal J
FAU - Hampton, David
AU  - Hampton D
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - United States
TA  - J Electrocardiol
JT  - Journal of electrocardiology
JID - 0153605
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Age Factors
MH  - Aged
MH  - Aged, 80 and over
MH  - Angina Pectoris/diagnosis/physiopathology
MH  - *Electrocardiography/standards/statistics & numerical data
MH  - Europe
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Myocardial Contraction/physiology
MH  - Myocardial Infarction/*diagnosis/physiopathology
MH  - Sensitivity and Specificity
MH  - Sex Factors
MH  - United States
EDAT- 2004/11/10 09:00
MHDA- 2005/03/04 09:00
CRDT- 2004/11/10 09:00
PHST- 2004/11/10 09:00 [pubmed]
PHST- 2005/03/04 09:00 [medline]
PHST- 2004/11/10 09:00 [entrez]
AID - S0022073604001025 [pii]
AID - 10.1016/j.jelectrocard.2004.08.032 [doi]
PST - ppublish
SO  - J Electrocardiol. 2004;37 Suppl:98-103. doi: 10.1016/j.jelectrocard.2004.08.032.