Highlights the challenges and controversies in measuring ST elevation on ECG for diagnosing acute coronary syndrome in the emergency setting.
May complicate ACS triage in emergencies; case report leaves open standardized ST elevation criteria.
The identification of acute coronary syndrome continues to challenge even experienced clinicians. Emergency physicians have the responsibility to identify, treat and admit those patients with true acute coronary syndrome to the appropriate units. This article described a case of acute coronary syndrome that developed in the observation ward, with discussion on some recent reviews of standard electrocardiogram analysis. It is very important to point out that controversy over the measurement of ST elevation exists which may adversely affect patient management.
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Ho et al. (2004) studied this question.
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