The electrocardiogram remains a crucial tool in the identificationand management of acute myocardial infarction. A detailed analysisof patterns of ST-segment elevation may influence decisionsregarding the use of reperfusion therapy. The early and accurateidentification of the infarct-related artery on the electrocardiogramcan help predict the amount of myocardium at risk and guidedecisions regarding the urgency of revascularization. Electrocardiographicsigns of reperfusion represent an important marker of microvascularblood flow and consequent prognosis. The electrocardiogram isalso crucial for identifying new conduction abnormalities andarrhythmias that influence both short- and long-term outcome.In this review, we discuss . . . [Full Text of this Article]
Identification of the Infarct-Related Artery
Inferior Myocardial Infarction
Right Ventricular Myocardial Infarction
Myocardial Infarction of the Anterior Wall
Left Bundle-Branch Block
Electrocardiographic Predictors of Reperfusion
Arrhythmias and Conduction Disease in Acute Myocardial Infarction
Inferior Myocardial Infarction
Anterior Myocardial Infarction
Tachyarrhythmias
Conclusions
Source Information
From the Cardiovascular Division, Department of Medicine, Beth Israel Deaconess Medical Center, Boston.
Address reprint requests to Dr. Zimetbaum at the Division of Cardiology, Beth Israel Deaconess Medical Center, 1 Deaconess Rd., Boston, MA 02215, or at pzimetba@bidmc.harvard.edu.
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