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Review Article
Current Concepts
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Volume 348:933-940 March 6, 2003 Number 10
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Use of the Electrocardiogram in Acute Myocardial Infarction
Peter J. Zimetbaum, M.D., and Mark E. Josephson, M.D.

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The electrocardiogram remains a crucial tool in the identification and management of acute myocardial infarction. A detailed analysis of patterns of ST-segment elevation may influence decisions regarding the use of reperfusion therapy. The early and accurate identification of the infarct-related artery on the electrocardiogram can help predict the amount of myocardium at risk and guide decisions regarding the urgency of revascularization. Electrocardiographic signs of reperfusion represent an important marker of microvascular blood flow and consequent prognosis. The electrocardiogram is also crucial for identifying new conduction abnormalities and arrhythmias 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.


Related Letters:

The Electrocardiogram in Acute Myocardial Infarction
Madias J. E., Zimetbaum P., Josephson M. E.
Extract | Full Text | PDF  
N Engl J Med 2003; 348:2362, Jun 5, 2003. Correspondence

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