Chameleons Electrocardiogram Imitators of ST-Segment Elevation Myocardial Infarction

被引：4

作者：

Nable, Jose V. ^{[1
]}

Lawner, Benjamin J. ^{[2
]}

机构：

[1] Georgetown Univ, Sch Med, MedStar Georgetown Univ Hosp, Dept Emergency Med, Washington, DC 20007 USA

[2] Univ Maryland, Sch Med, Dept Emergency Med, Baltimore, MD 21201 USA

来源：

EMERGENCY MEDICINE CLINICS OF NORTH AMERICA | 2015年 / 33卷 / 03期

关键词：

Electrocardiography; STEMI; Myocardial infarction; Electrocardiogram; BUNDLE-BRANCH BLOCK; CLINICAL PRESENTATION; BRUGADA-SYNDROME; TAKO-TSUBO; DIAGNOSIS; CARDIOMYOPATHY; CRITERIA; DEATH;

D O I：

10.1016/j.emc.2015.04.004

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

The imperative for timely reperfusion therapy for patients presenting with ST-segment elevation myocardial infarction (STEMI) underscores the need for clinicians to have an understanding of how to distinguish patterns of STEMI from its imitators. These imitating diagnoses may confound an evaluation, potentially delaying necessary therapy. Although numerous diagnoses may mimic STEMI, several morphologic clues may allow the physician to determine if the pattern is concerning for either STEMI or a mimicking diagnosis. Furthermore, obtaining a satisfactory history, comparing previous electrocardiograms, and assessing serial tests may provide valuable clues.

引用

页码：529 / +

页数：10

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