Acute Coronary Syndrome and ST Segment Monitoring

被引:3
作者
Carey, Mary G. [1 ]
机构
[1] Univ Rochester, Strong Mem Hosp, Clin Nursing Res Ctr, Med Ctr,Sch Nursing, 601 Elmwood Ave,Box 619-7, Rochester, NY 14642 USA
关键词
Coronary artery disease; Myocardial ischemia; Myocardial infarction; ST segment monitoring; ECG; ELEVATION MYOCARDIAL-INFARCTION; HIGH-RISK; ISCHEMIA; PREVALENCE; FREQUENCY; STATEMENT; OUTCOMES; ECG;
D O I
10.1016/j.cnc.2016.04.006
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Acute coronary syndrome (ACS) is caused by a critical obstruction of a coronary artery because of atherosclerotic coronary artery disease. Three specific conditions are included: ST elevation myocardial infarction, non ST elevation myocardial infarction, and unstable angina. The ST segment on the electrocardiogram is a sensitive and specific marker of myocardial ischemia and infarction; however, ST segment deviation is regional not global, thus the ECG lead must be placed over the affected region of the myocardium. This article describes ACS and infarction and the use of ST segment monitoring to detect these conditions.
引用
收藏
页码:347 / +
页数:11
相关论文
共 24 条
[1]   Frequency of silent myocardial ischemia with 12-lead ST segment monitoring in the coronary care unit: Are there sex-related differences? [J].
Adams, MG ;
Pelter, MM ;
Wung, SF ;
Taylor, CA ;
Drew, BJ .
HEART & LUNG, 1999, 28 (02) :81-86
[2]   Body position effects on the ECG - Implication for ischemia monitoring [J].
Adams, MG ;
Drew, BJ .
JOURNAL OF ELECTROCARDIOLOGY, 1997, 30 (04) :285-291
[3]   Recurrent ischaemia during continuous multilead ST-segment monitoring identifies patients with acute coronary syndromes at high risk of adverse cardiac events - Meta-analysis of three studies involving 995 patients [J].
Akkerhuis, KM ;
Klootwijk, PAJ ;
Lindeboom, W ;
Umans, VAWM ;
Meij, S ;
Kint, PP ;
Simoons, ML .
EUROPEAN HEART JOURNAL, 2001, 22 (21) :1997-2006
[4]  
[Anonymous], 2015, CIRCULATION, DOI DOI 10.1161/CIR.0000000000000152
[5]  
[Anonymous], J VIS EXP
[6]   Prevalence, clinical characteristics, and mortality among patients with myocardial infarction presenting without chest pain [J].
Canto, JG ;
Shlipak, MG ;
Rogers, WJ ;
Malmgren, JA ;
Frederick, PD ;
Lambrew, CT ;
Ornato, JP ;
Barron, HV ;
Kiefe, CI .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2000, 283 (24) :3223-3229
[7]   Protection of distal embolization in high-risk patients with acute ST-segment elevation myocardial infarction (PREMIAR) [J].
Cura, Fernando A. ;
Escudero, Alejandro Garcia ;
Berrocal, Daniel ;
Mendiz, Oscar ;
Trivi, Marcelo S. ;
Fernandez, Juan ;
Palacios, Alejandro ;
Albertal, Mariano ;
Piraino, Ruben ;
Riccitelli, Miguel Angel ;
Gruberg, Luis ;
Ballarino, Miguel ;
Milei, Jose ;
Baeza, Ricardo ;
Thierer, Jorge ;
Grinfeld, Liliana ;
Krucoff, Mitchell ;
O'Neill, William ;
Belardi, Jorge .
AMERICAN JOURNAL OF CARDIOLOGY, 2007, 99 (03) :357-363
[8]   PREVALENCE OF TOTAL CORONARY-OCCLUSION DURING THE EARLY HOURS OF TRANSMURAL MYOCARDIAL-INFARCTION [J].
DEWOOD, MA ;
SPORES, J ;
NOTSKE, R ;
MOUSER, LT ;
BURROUGHS, R ;
GOLDEN, MS ;
LANG, HT .
NEW ENGLAND JOURNAL OF MEDICINE, 1980, 303 (16) :897-902
[9]  
Drew B J, 1999, Am J Crit Care, V8, P372
[10]  
Drew Barbara J, 2005, J Cardiovasc Nurs, V20, P76