Key result
Clinical review outlines ECG features of non-ischemic ST elevation to prevent acute MI misdiagnosis.
Why the study?
Prompt diagnosis of acute STEMI by initial ECG is important to enable urgent coronary angiography and successful revascularization, but several conditions can mimic AMI and may not benefit from revascularization.
This review provides guidance on distinguishing STEMI from non-ischemic causes of ST elevation on ECG to prevent unnecessary revascularization procedures.
May aid differentiation of STEMI mimics in acute settings; leaves open prospective validation of ECG criteria.
Prompt diagnosis of acute ST segment elevation myocardial infarction (STEMI) by the initial ECG is important in order to perform an urgent coronary angiography as soon as possible and achieve successful revascularization, therewith improving mortality and morbidity. Several diseases and conditions can mimic an acute myocardial infarction (AMI) but may not benefit from a (percutaneous) revascularization strategy. This narrative clinical review will discuss the ECG features of some of the causes of non-ischemic ST segment elevation to facilitate early recognition, prevent wrongful diagnosis and improve treatment outcomes.
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Erwin Christian de Bliek (2018) conducted a review in ST segment elevation. This narrative clinical review discusses the ECG features of non-ischemic causes of ST segment elevation to facilitate early recognition and prevent wrongful diagnosis of acute myocardial infarction.
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