急性冠状动脉综合征心电图的新进展。从已知模式到不寻常表现

Carlos Gómez Navarro, José Castillo Ortíz, M. Carmen Morenate Navío
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引用次数: 2

摘要

在急性冠脉综合征(ACS)的背景下,心电图(ECG)提供了适当的分类和风险分层。早期心电图改变检测对诊断急性完全性冠状动脉阻塞至关重要。持续ST段抬高通常是紧急再灌注的线索。然而,有些情况下,即使存在冠状动脉闭塞,我们也不能找到预期的ST段抬高。此外,有异常的心电图模式与显著的风险相关。认识到这些情况对护理人员来说是一个真正的挑战。
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Novedades en el electrocardiograma de los síndromes coronarios agudos. De los patrones conocidos a las manifestaciones inusuales

Within the context of an acute coronary syndrome (ACS), the electrocardiogram (ECG), provides proper classification and risk stratification. Early ECG changes detection is crucial in diagnosing acute complete coronary obstruction. Persistent ST segment elevation is usually the clue for urgent reperfusion. Nevertheless, there are situations where even in presence of coronary occlusion we can not find the expected ST segment elevation. Furthermore, there are unusual ECG patterns related with significant risk. To recognise these situations is a real challenge for care providers.

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