Prehospital Diagnosis of ST-segment Elevation Myocardial Infarction Using an ""All-Posterior"" 12-Lead Electrocardiogram

被引：8

作者：

Russi, Christopher S. ^{[1
]}

Myers, Lucas A.

Kolb, Logan J. ^{[1
]}

Steever, Kevin

Nestler, David M. ^{[1
]}

Bjerke, Mary Christine ^{[2
]}

White, Roger D. ^{[2
,3
]}

Ting, Henry H. ^{[2
]}

机构：

[1] Mayo Clin, Dept Emergency Med, Rochester, MN 55905 USA

[2] Mayo Clin, Div Cardiovasc Dis, Rochester, MN 55905 USA

[3] Mayo Clin, Div Cardiovasc Thorac Anesthesia, Rochester, MN 55905 USA

来源：

PREHOSPITAL EMERGENCY CARE | 2011年 / 15卷 / 03期

关键词：

electrocardiogram; emergency medical services; ST-segment elevation myocardial infarction; all-posterior positioning; TO-BALLOON TIME; IMPACT;

D O I：

10.3109/10903127.2011.561414

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

A prehospital 12-lead electrocardiogram (ECG) is commonly used for patients with suspected ST-segment elevation myocardial infarction (STEMI). This case report describes how paramedics diagnosed inferior STEMI with all ECG leads positioned on a patient's back (i.e., ""all-posterior"" positioning). The patient was hemodynamically stable but morbidly obese and markedly diaphoretic. Owing to severe back pain, he refused to lie in the supine position for assessment or transport. At the emergency department, a 12-lead ECG with the patient in lateral recumbency confirmed the diagnosis of inferior STEMI. This case shows that an all-posterior 12-lead ECG can be used to identify STEMI when optimal patient positioning is not possible.

引用

页码：410 / 413

页数：4