PMID- 22188884 OWN - NLM STAT- MEDLINE DCOM- 20150115 LR - 20111222 IS - 1665-1731 (Electronic) IS - 1665-1731 (Linking) VI - 81 IP - 4 DP - 2011 Oct-Dec TI - [Relationship between the ECG and MRI findings in acute myocardial infarction]. PG - 298-303 AB - OBJECTIVE: To evaluate the agreement between de ECG leads with ST elevation and the myocardial segments that present myocardial edema in the MRI study, in patients with acute myocardial infarction. METHODS: There were included 91 patients with a first ST elevation myocardial infarction (STEMI) with reperfusion therapy during the first 12 hours of onset symptoms, in whom a Cardiovascular Magnetic Resonance (CMR) was done (mean 3 day after the ischemic event). Among the ECG leads (thoracic circle), there were identified those with ST higher elevation. In the CMR there were evaluated the myocardial segments with edema (T2-weighted sequence with hyperintensity). RESULTS: The ECG leads with the best sensibility in the detection of injury, corresponding to cellular edema, were: basal anterior and anteroseptal: V2; basal inferoseptal LIII and aVF; basal inferior and inferolateral: LIII; basal anterolateral V7-V9; mid anterior and anteroseptal:V2 and V3; mid inferoseptal, inferior and inferolateral: LIII and aVF; mid anterolateral V2 and V8; apical anterior and septal: V2-V4; apical inferior and lateral: LII, LIII and aVF; apex: V2-V4. CONCLUSIONS: The surface ECG leads with higher ST elevation corresponded to the myocardial segments with more important edema (defined as someone with hyperintensity in the T2- weighted MRI sequence). FAU - Melendez-Ramirez, Gabriela AU - Melendez-Ramirez G AD - Departamento de Resonancia Magnetica. FAU - de Micheli, Alfredo AU - de Micheli A FAU - Fratti, Victor AU - Fratti V FAU - Meave-Gonzalez, Aloha AU - Meave-Gonzalez A FAU - Gonzalez-Pacheco, Hector AU - Gonzalez-Pacheco H FAU - Alexanderson, Erick AU - Alexanderson E LA - spa PT - English Abstract PT - Journal Article TT - Relacion entre los hallazgos electrocardiograficos y de resonancia magnetica en la fase aguda del infarto miocardico. PL - Mexico TA - Arch Cardiol Mex JT - Archivos de cardiologia de Mexico JID - 101126728 SB - IM MH - *Electrocardiography MH - Female MH - Humans MH - *Magnetic Resonance Imaging MH - Male MH - Middle Aged MH - Myocardial Infarction/*diagnosis EDAT- 2011/12/23 06:00 MHDA- 2015/01/16 06:00 CRDT- 2011/12/23 06:00 PHST- 2011/12/23 06:00 [entrez] PHST- 2011/12/23 06:00 [pubmed] PHST- 2015/01/16 06:00 [medline] AID - 14059940814004 [pii] PST - ppublish SO - Arch Cardiol Mex. 2011 Oct-Dec;81(4):298-303.