ST-segment elevation myocardial infarction mimics: The differential diagnosis of nonacute coronary syndrome causes of ST-segment/T-wave abnormalities in the chest pain patient.

IF 1.1 Q3 EMERGENCY MEDICINE Turkish Journal of Emergency Medicine Pub Date : 2024-10-01 DOI:10.4103/tjem.tjem_137_24
James H Moak, Andrew E Muck, William J Brady
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Abstract

The evaluation of adult patients suspected of ST-segment elevation myocardial infarction (STEMI) includes a focused history and examination, 12-lead electrocardiogram (ECG), and cardiac serum marker analysis. The ECG plays a pivotal role in the early diagnosis and management of STEMI. A number of ECG entities in this patient population will present with ST-segment elevation and other electrocardiographic abnormalities which can mimic STEMI. In this article, we review the most frequent STEMI mimic patterns, highlight their ECG characteristics, and compare these individual ECG entities to the electrocardiographic abnormalities present with STEMI.

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模仿 ST 段抬高型心肌梗死:胸痛患者 ST 段/T 波异常的非急性冠状动脉综合征病因的鉴别诊断。
对疑似 ST 段抬高型心肌梗死(STEMI)成年患者的评估包括重点询问病史和检查、12 导联心电图(ECG)和心肌血清标志物分析。心电图在 STEMI 的早期诊断和治疗中起着至关重要的作用。在这类患者中,有许多心电图实体会出现 ST 段抬高和其他心电图异常,这可能与 STEMI 相似。在本文中,我们将回顾最常见的 STEMI 拟态模式,强调其心电图特征,并将这些心电图实体与 STEMI 时出现的心电图异常进行比较。
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来源期刊
CiteScore
1.70
自引率
0.00%
发文量
30
审稿时长
22 weeks
期刊介绍: The Turkish Journal of Emergency Medicine (Turk J Emerg Med) is an International, peer-reviewed, open-access journal that publishes clinical and experimental trials, case reports, invited reviews, case images, letters to the Editor, and interesting research conducted in all fields of Emergency Medicine. The Journal is the official scientific publication of the Emergency Medicine Association of Turkey (EMAT) and is printed four times a year, in January, April, July and October. The language of the journal is English. The Journal is based on independent and unbiased double-blinded peer-reviewed principles. Only unpublished papers that are not under review for publication elsewhere can be submitted. The authors are responsible for the scientific content of the material to be published. The Turkish Journal of Emergency Medicine reserves the right to request any research materials on which the paper is based. The Editorial Board of the Turkish Journal of Emergency Medicine and the Publisher adheres to the principles of the International Council of Medical Journal Editors, the World Association of Medical Editors, the Council of Science Editors, the Committee on Publication Ethics, the US National Library of Medicine, the US Office of Research Integrity, the European Association of Science Editors, and the International Society of Managing and Technical Editors.
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