PMID- 22980232
OWN - NLM
STAT- MEDLINE
DCOM- 20121105
LR  - 20211021
IS  - 1916-9736 (Print)
IS  - 1916-9744 (Electronic)
IS  - 1916-9736 (Linking)
VI  - 4
IP  - 3
DP  - 2012 Apr 28
TI  - ST elevation: telling pathology from the benign patterns.
PG  - 51-63
LID - 10.5539/gjhs.v4n3p51 [doi]
AB  - Benefits of early reperfusion in patients presenting with acute ST elevation 
      myocardial infarction (STEMI) are well known. The American College of Cardiology 
      / American Heart Association guidelines recommend triage decisions are made 
      within 10 minutes of performing initial electrocardiogram (ECG). Since many 
      patients presenting with ischemic symptoms may have ST elevation (STE) at 
      baseline, not all STE signify transmural ischemia. Benign patterns can be easy to 
      find in some cases. However, patients with benign STE at baseline (left 
      ventricular hypertrophy, early repolarization pattern) may have ongoing ischemia 
      and present with Non-ST elevation myocardial infarction (NSTEMI) or even STEMI 
      superimposed on the benign pattern. The ability of clinicians to distinguish 
      between ischemic and non ischemic STE varies widely and is affected by prevalence 
      of such changes in patient population. More studies need to be done to delineate 
      the criteria to clearly distinguish between ischemic and non ischemic ST 
      elevation.
FAU - Kayani, Waleed Tallat
AU  - Kayani WT
AD  - Department of Medicine, Baylor College of Medicine, Houston, Texas 77030, USA.
FAU - Huang, Henry D
AU  - Huang HD
FAU - Bandeali, Salman
AU  - Bandeali S
FAU - Virani, Salim S
AU  - Virani SS
FAU - Wilson, James M
AU  - Wilson JM
FAU - Birnbaum, Yochai
AU  - Birnbaum Y
LA  - eng
PT  - Journal Article
DEP - 20120428
PL  - Canada
TA  - Glob J Health Sci
JT  - Global journal of health science
JID - 101519495
SB  - IM
MH  - Diagnosis, Differential
MH  - Electrocardiography/*methods
MH  - Humans
MH  - Myocardial Infarction/*diagnosis/etiology/*pathology
MH  - United States
PMC - PMC4776946
EDAT- 2012/09/18 06:00
MHDA- 2012/11/06 06:00
PMCR- 2012/06/01
CRDT- 2012/09/18 06:00
PHST- 2012/02/26 00:00 [received]
PHST- 2012/03/11 00:00 [accepted]
PHST- 2012/03/19 00:00 [revised]
PHST- 2012/09/18 06:00 [entrez]
PHST- 2012/09/18 06:00 [pubmed]
PHST- 2012/11/06 06:00 [medline]
PHST- 2012/06/01 00:00 [pmc-release]
AID - GJHS-4-51 [pii]
AID - 10.5539/gjhs.v4n3p51 [doi]
PST - epublish
SO  - Glob J Health Sci. 2012 Apr 28;4(3):51-63. doi: 10.5539/gjhs.v4n3p51.