12-lead ECG ST-segment changes form the basis for diagnosing the culprit artery, guiding management, and determining prognosis in acute myocardial infarction.
Does 12-lead ECG accurately localize the occluded vessel in acute myocardial infarction?
12-lead ECG ST-segment changes are crucial for diagnosing the culprit artery in acute myocardial infarction, guiding subsequent management and prognosis.
This is a review of features in ECG to diagnose the culprit artery responsible for the infarction. Localization of the occluded vessel in acute myocardial infarction is important for many reasons: to know which artery is to dilate and stent; to assess the severity of the lesion; to compare with the echocardiographic area with hypokinesia or akinesia and to differentiate the recent from the old occluded vessel. The ST-segment changes in 12-lead ECG form the basis of diagnosis, management, and prognosis.
Rafla et al. (Tue,) conducted a review in Acute myocardial infarction. 12-lead ECG was evaluated. 12-lead ECG ST-segment changes form the basis for diagnosing the culprit artery, guiding management, and determining prognosis in acute myocardial infarction.