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Previous Volume 349:2128-2135 November 27, 2003 Number 22 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Acute myocardial infarction resulting from an occlusive thrombus is recognized on an electrocardiogram by ST-segment elevation.¹ Early reperfusion therapy has proved beneficial in such infarctions.^2,3,4 The earlier the reperfusion, the greater the benefit, and the time to treatment is now considered to indicate the quality of care. These days, when thrombolytic treatment and percutaneous intervention are carried out so readily, it is important to remember that acute infarction is not the only cause of ST-segment elevation. The purpose of this review is to describe other conditions that mimic infarction and emphasize the electrocardiographic clues that can be used to differentiate . . . [Full Text of this Article]

Normal ST-Segment Elevation and Normal Variants

Left Bundle-Branch Block

Acute Pericarditis and Myocarditis

Hyperkalemia

The Brugada Syndrome and Arrhythmogenic Right Ventricular Cardiomyopathy

Pulmonary Embolism

Transthoracic Cardioversion

Prinzmetal's Angina

Conclusions

Source Information

From the Hennepin County Medical Center, University of Minnesota, Minneapolis (K.W., R.W.A.); and the University of South Florida, Tampa (H.J.L.M.).

Address reprint requests to Dr. Wang at the Hennepin County Medical Center, Cardiology Division, 701 Park Ave., MC 865A, Minneapolis, MN 55415.

Related Letters:

Conditions Associated with ST-Segment Elevation
Ako J., Honda Y., Fitzgerald P. J., Andrianakis I. A., Papadomichelakis E. D., Kotanidou A. N., Cheng T. O., Fossum E., Nils-Einar K., Mangschau A., Friedman H. S., Wang K., Asinger R. W., Marriott H. J.L.
Extract | Full Text | PDF  
N Engl J Med 2004; 350:1152-1155, Mar 11, 2004. Correspondence

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