PMID- 27757473 OWN - NLM STAT- MEDLINE DCOM- 20181101 LR - 20181113 IS - 2193-6226 (Electronic) IS - 2193-6218 (Linking) VI - 112 IP - 8 DP - 2017 Nov TI - [Typical atypical ECGs and anterior wall infarction : Subtle signs of an acute coronary artery occlucion]. PG - 703-707 LID - 10.1007/s00063-016-0222-4 [doi] AB - The ECG is a very important diagnostic tool if an acute coronary syndrome is suspected. It should be performed immediately when medical staff contacts the patient. If an ST elevation myocardial infarction (STEMI) is diagnosed, immediate reperfusion of the occluded vessel should be the primary goal. Therefore, even subtle signs of an anterior wall infarction diagnosed by the ECG which lead to suspicion of complete occlusion of a coronary artery should be known and diagnosed by all physicians who may have contact with these types of patients. The ECG variations presented in this article can be used as a sample for medical personnel who are not familiar with these changes and do not routinely interpret ECGs. FAU - Grautoff, S AU - Grautoff S AD - Zentrale Notaufnahme, Klinikum Herford, Schwarzenmoorstr. 70, 32049, Herford, Deutschland. steffen.grautoff@klinikum-herford.de. LA - ger PT - Journal Article PT - Review TT - Typische atypische EKGs bei Vorderwandinfarkt : Subtile Zeichen eines akuten Koronarverschlusses. DEP - 20161018 PL - Germany TA - Med Klin Intensivmed Notfmed JT - Medizinische Klinik, Intensivmedizin und Notfallmedizin JID - 101575086 SB - IM MH - Anterior Wall Myocardial Infarction/*diagnosis/therapy MH - Coronary Stenosis/*diagnosis/therapy MH - Diagnosis, Differential MH - *Electrocardiography MH - Humans MH - ST Elevation Myocardial Infarction/diagnosis/therapy MH - Syndrome OTO - NOTNLM OT - Anterior wall infarction OT - De Winters T wave OT - Negative U wave OT - Precordial T wave balance OT - STEMI OT - Wellens' syndrome EDAT- 2016/10/21 06:00 MHDA- 2018/11/02 06:00 CRDT- 2016/10/21 06:00 PHST- 2016/04/20 00:00 [received] PHST- 2016/07/26 00:00 [accepted] PHST- 2016/07/07 00:00 [revised] PHST- 2016/10/21 06:00 [pubmed] PHST- 2018/11/02 06:00 [medline] PHST- 2016/10/21 06:00 [entrez] AID - 10.1007/s00063-016-0222-4 [pii] AID - 10.1007/s00063-016-0222-4 [doi] PST - ppublish SO - Med Klin Intensivmed Notfmed. 2017 Nov;112(8):703-707. doi: 10.1007/s00063-016-0222-4. Epub 2016 Oct 18.