The ECG in Acute Myocardial Infarction and Unstable Angina: Diagnosis and Risk Stratification
The electrocardiogram (ECG) remains the most accessible and inexpensive diagnostic tool to evaluate the patient presenting with symptoms suggestive of acute myocardial ischemia. It plays a crucial role in decision making about the aggressiveness of therapy especially in relation to reperfusion thera...
Gespeichert in:
| Hauptverfasser: | , , |
|---|---|
| Format: | Elektronisch E-Book |
| Sprache: | English |
| Veröffentlicht: |
Boston, MA
Springer US
2002
|
| Schriftenreihe: | Developments in Cardiovascular Medicine
245 |
| Schlagworte: | |
| Online-Zugang: | UBR01 Volltext |
| Zusammenfassung: | The electrocardiogram (ECG) remains the most accessible and inexpensive diagnostic tool to evaluate the patient presenting with symptoms suggestive of acute myocardial ischemia. It plays a crucial role in decision making about the aggressiveness of therapy especially in relation to reperfusion therapy, because such therapy has resulted in a considerable reduction in mortality from acute myocardial infarction. Several factors play a role in the amount of myocardial tissue that can be salvaged by reperfusion therapy, such as the time interval between onset of coronary occlusion and reperfusion, site and size of the jeopardized area, type of reperfusion attempt (thrombolytic agent or an intracoronary catheter intervention), presence or absence of risk factors for thrombolytic agents, etc. Most important in decision making on reperfusion therapy and the type of intervention is to look for markers indicating a higher mortality rate from myocardial infarction. The ECG is a reliable, inexpensive, non-invasive instrument to obtain that information. Recently it has become clear that both in anterior and inferior myocardial infarction, the ECG frequently allows not only to identify the infarct related coronary artery, but also the site of occlusion in that artery and therefore the size of the jeopardized area. Obviously, the more proximal the occlusion, the larger the area at risk and the more aggressive the reperfusion attempt |
| Beschreibung: | 1 Online-Ressource (IX, 132 p. 231 illus) |
| ISBN: | 9780306482021 |
| DOI: | 10.1007/b101885 |
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| 520 | |a The electrocardiogram (ECG) remains the most accessible and inexpensive diagnostic tool to evaluate the patient presenting with symptoms suggestive of acute myocardial ischemia. It plays a crucial role in decision making about the aggressiveness of therapy especially in relation to reperfusion therapy, because such therapy has resulted in a considerable reduction in mortality from acute myocardial infarction. Several factors play a role in the amount of myocardial tissue that can be salvaged by reperfusion therapy, such as the time interval between onset of coronary occlusion and reperfusion, site and size of the jeopardized area, type of reperfusion attempt (thrombolytic agent or an intracoronary catheter intervention), presence or absence of risk factors for thrombolytic agents, etc. Most important in decision making on reperfusion therapy and the type of intervention is to look for markers indicating a higher mortality rate from myocardial infarction. The ECG is a reliable, inexpensive, non-invasive instrument to obtain that information. Recently it has become clear that both in anterior and inferior myocardial infarction, the ECG frequently allows not only to identify the infarct related coronary artery, but also the site of occlusion in that artery and therefore the size of the jeopardized area. Obviously, the more proximal the occlusion, the larger the area at risk and the more aggressive the reperfusion attempt | ||
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Datensatz im Suchindex
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| discipline | Medizin |
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| id | DE-604.BV046146867 |
| illustrated | Not Illustrated |
| indexdate | 2024-07-10T08:36:31Z |
| institution | BVB |
| isbn | 9780306482021 |
| language | English |
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| spelling | Wellens, Hein J.J. Verfasser aut The ECG in Acute Myocardial Infarction and Unstable Angina Diagnosis and Risk Stratification by Hein J.J. Wellens, Anton P.M. Gorgels, Pieter A. Doevendans Boston, MA Springer US 2002 1 Online-Ressource (IX, 132 p. 231 illus) txt rdacontent c rdamedia cr rdacarrier Developments in Cardiovascular Medicine 245 The electrocardiogram (ECG) remains the most accessible and inexpensive diagnostic tool to evaluate the patient presenting with symptoms suggestive of acute myocardial ischemia. It plays a crucial role in decision making about the aggressiveness of therapy especially in relation to reperfusion therapy, because such therapy has resulted in a considerable reduction in mortality from acute myocardial infarction. Several factors play a role in the amount of myocardial tissue that can be salvaged by reperfusion therapy, such as the time interval between onset of coronary occlusion and reperfusion, site and size of the jeopardized area, type of reperfusion attempt (thrombolytic agent or an intracoronary catheter intervention), presence or absence of risk factors for thrombolytic agents, etc. Most important in decision making on reperfusion therapy and the type of intervention is to look for markers indicating a higher mortality rate from myocardial infarction. The ECG is a reliable, inexpensive, non-invasive instrument to obtain that information. Recently it has become clear that both in anterior and inferior myocardial infarction, the ECG frequently allows not only to identify the infarct related coronary artery, but also the site of occlusion in that artery and therefore the size of the jeopardized area. Obviously, the more proximal the occlusion, the larger the area at risk and the more aggressive the reperfusion attempt Cardiology Infectious Diseases Bacteriology Emerging infectious diseases Gorgels, Anton P.M. aut Doevendans, Pieter A. aut Erscheint auch als Druck-Ausgabe 9781475784572 Erscheint auch als Druck-Ausgabe 9781475784565 Erscheint auch als Druck-Ausgabe 9781402072147 https://doi.org/10.1007/b101885 Verlag URL des Erstveröffentlichers Volltext |
| spellingShingle | Wellens, Hein J.J Gorgels, Anton P.M Doevendans, Pieter A. The ECG in Acute Myocardial Infarction and Unstable Angina Diagnosis and Risk Stratification Cardiology Infectious Diseases Bacteriology Emerging infectious diseases |
| title | The ECG in Acute Myocardial Infarction and Unstable Angina Diagnosis and Risk Stratification |
| title_auth | The ECG in Acute Myocardial Infarction and Unstable Angina Diagnosis and Risk Stratification |
| title_exact_search | The ECG in Acute Myocardial Infarction and Unstable Angina Diagnosis and Risk Stratification |
| title_full | The ECG in Acute Myocardial Infarction and Unstable Angina Diagnosis and Risk Stratification by Hein J.J. Wellens, Anton P.M. Gorgels, Pieter A. Doevendans |
| title_fullStr | The ECG in Acute Myocardial Infarction and Unstable Angina Diagnosis and Risk Stratification by Hein J.J. Wellens, Anton P.M. Gorgels, Pieter A. Doevendans |
| title_full_unstemmed | The ECG in Acute Myocardial Infarction and Unstable Angina Diagnosis and Risk Stratification by Hein J.J. Wellens, Anton P.M. Gorgels, Pieter A. Doevendans |
| title_short | The ECG in Acute Myocardial Infarction and Unstable Angina |
| title_sort | the ecg in acute myocardial infarction and unstable angina diagnosis and risk stratification |
| title_sub | Diagnosis and Risk Stratification |
| topic | Cardiology Infectious Diseases Bacteriology Emerging infectious diseases |
| topic_facet | Cardiology Infectious Diseases Bacteriology Emerging infectious diseases |
| url | https://doi.org/10.1007/b101885 |
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