Recognizing electrocardiographically subtle occlusion myocardial infarction and differentiating it from mimics: Ten steps to or away from cath lab

Smith, Stephen; Aslanger, Emre; Meyers, Harvey

Recognizing electrocardiographically subtle occlusion myocardial infarction and differentiating it from mimics: Ten steps to or away from cath lab

Emre ASLANGER, (Department of Cardiology, Marmara University Pendik Training and Research Hospital, İstanbul, Turkey)

H. Pendell Meyers, (Department of Emergency Medicine, Carolinas Medical Center, Charlotte, North Carolina, USA)

Stephen W. Smith (Department of Emergency Medicine, University of Minnesota Hennepin Healthcare, Minneapolis, Minnesota, USA)

Türk Kardiyoloji Derneği Arşivi

7 1

Yıl: 2021 Cilt: 49 Sayı: 6 Sayfa Aralığı: 488 - 500 Metin Dili: İngilizce İndeks Tarihi: 29-01-2022

Recognizing electrocardiographically subtle occlusion myocardial infarction and differentiating it from mimics: Ten steps to or away from cath lab

Öz:

Summary– It is increasingly evident that the ST-segment elevation (STE) myocardial infarction (MI)/non-STEMI paradigm that equates STEMI with acute coronary occlusion (ACO) is deceptive. This unfortunate paradigm, adhered to by the current guidelines, misses at least one-fourth of the ACOs, and unnecessarily over-triages a similar fraction of the patients to the catheterization laboratory. Accordingly, we have been calling for a new paradigm, the occlusion/ nonocclusion MI (OMI/NOMI). Although this new OMI/NOMI paradigm is not limited to an electrocardiogram (ECG), the ECG will remain the cornerstone of this new paradigm because of its speed, repeatability, noninvasive nature, wide availability, and high diagnostic power for OMI. This review provides a step-by-step approach to ECG for the diagnosis of OMI.

Anahtar Kelime:

Elektrokardiyografik olarak belirgin olmayan oklüzyonlu miyokart enfarktüsünü tanımak ve taklitlerinden ayırt etmek: On adımda kateter laboratuvarına veya aksi yöne doğru

Öz:

Özet– ST-segment yükselmesi (STY) ile akut koroner tıkanıklığı (AKT) eş tutan STY miyokart enfarktüsü (ME)/ ST-segment yükselmesiz (STYz) ME paradigmasının yanıltıcı olduğu giderek daha aşikâr hale gelmektedir. Güncel kılavuzlarca savunulan bu talihsiz paradigma AKT’lerin en az dörtte birini kaçırmakta, benzer bir oranda hastayı da gereksiz biçimde kateterizasyon laboratuvarına yönlendirmektedir. Bu nedenle, bir süredir oklüzyonlu/oklüzyonsuz ME (OME/NOME) paradigmasına geçiş çağrısında bulunmaktayız. Bu yeni OME/NOME paradigması elektrokardiyografiye (EKG) sınırlı olmasa da EKG; hızı, tekrarlanabilirliği, girişimsel olmayan doğası, yaygın kullanılabilirliği ve OME için yüksek tanısal gücü nedeniyle yine bu paradigmanın kilit taşını oluşturacaktır. Bu gözden geçirmede, OME tanısı için EKG’ye adım adım bir yaklaşım sunmaktayız.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Diğer Erişim Türü: Erişime Açık

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APA	Aslanger E, Meyers H, Smith S (2021). Recognizing electrocardiographically subtle occlusion myocardial infarction and differentiating it from mimics: Ten steps to or away from cath lab. , 488 - 500.
Chicago	Aslanger Emre,Meyers Harvey,Smith Stephen Recognizing electrocardiographically subtle occlusion myocardial infarction and differentiating it from mimics: Ten steps to or away from cath lab. (2021): 488 - 500.
MLA	Aslanger Emre,Meyers Harvey,Smith Stephen Recognizing electrocardiographically subtle occlusion myocardial infarction and differentiating it from mimics: Ten steps to or away from cath lab. , 2021, ss.488 - 500.
AMA	Aslanger E,Meyers H,Smith S Recognizing electrocardiographically subtle occlusion myocardial infarction and differentiating it from mimics: Ten steps to or away from cath lab. . 2021; 488 - 500.
Vancouver	Aslanger E,Meyers H,Smith S Recognizing electrocardiographically subtle occlusion myocardial infarction and differentiating it from mimics: Ten steps to or away from cath lab. . 2021; 488 - 500.
IEEE	Aslanger E,Meyers H,Smith S "Recognizing electrocardiographically subtle occlusion myocardial infarction and differentiating it from mimics: Ten steps to or away from cath lab." , ss.488 - 500, 2021.
ISNAD	Aslanger, Emre vd. "Recognizing electrocardiographically subtle occlusion myocardial infarction and differentiating it from mimics: Ten steps to or away from cath lab". (2021), 488-500.

APA	Aslanger E, Meyers H, Smith S (2021). Recognizing electrocardiographically subtle occlusion myocardial infarction and differentiating it from mimics: Ten steps to or away from cath lab. Türk Kardiyoloji Derneği Arşivi, 49(6), 488 - 500.
Chicago	Aslanger Emre,Meyers Harvey,Smith Stephen Recognizing electrocardiographically subtle occlusion myocardial infarction and differentiating it from mimics: Ten steps to or away from cath lab. Türk Kardiyoloji Derneği Arşivi 49, no.6 (2021): 488 - 500.
MLA	Aslanger Emre,Meyers Harvey,Smith Stephen Recognizing electrocardiographically subtle occlusion myocardial infarction and differentiating it from mimics: Ten steps to or away from cath lab. Türk Kardiyoloji Derneği Arşivi, vol.49, no.6, 2021, ss.488 - 500.
AMA	Aslanger E,Meyers H,Smith S Recognizing electrocardiographically subtle occlusion myocardial infarction and differentiating it from mimics: Ten steps to or away from cath lab. Türk Kardiyoloji Derneği Arşivi. 2021; 49(6): 488 - 500.
Vancouver	Aslanger E,Meyers H,Smith S Recognizing electrocardiographically subtle occlusion myocardial infarction and differentiating it from mimics: Ten steps to or away from cath lab. Türk Kardiyoloji Derneği Arşivi. 2021; 49(6): 488 - 500.
IEEE	Aslanger E,Meyers H,Smith S "Recognizing electrocardiographically subtle occlusion myocardial infarction and differentiating it from mimics: Ten steps to or away from cath lab." Türk Kardiyoloji Derneği Arşivi, 49, ss.488 - 500, 2021.
ISNAD	Aslanger, Emre vd. "Recognizing electrocardiographically subtle occlusion myocardial infarction and differentiating it from mimics: Ten steps to or away from cath lab". Türk Kardiyoloji Derneği Arşivi 49/6 (2021), 488-500.