Diagnostic ECG du syndrome coronarien aigu: Partie 2. Les anomalies de la repolarisation

P. Taboulet; S. W. Smith; W. J. Brady

doi:10.1007/s13341-012-0272-z

Diagnostic ECG du syndrome coronarien aigu: Partie 2. Les anomalies de la repolarisation

Translated title of the contribution: ECG for the diagnosis of acute coronary syndrome: Part 2. The repolarization abnormalities

P. Taboulet, S. W. Smith, W. J. Brady

Emergency Medicine

Research output: Contribution to journal › Review article › peer-review

2 Scopus citations

Abstract

This review updates the clinician to the many typical, but also underappreciated and subtle, ECG signs of myocardial ischemia and infarction. This compilation explains the dynamic changes during severe myocardial ischemia (schematically, abnormal T-wave then ST-segment and QRS complex) and illustrates in detail the heterogeneity of the ECG representations. It emphasizes the importance of seeking any abnormality in the T-wave (amplitude or polarity not conforming to QRS, symmetry at the base), ST-segment (excessive elevation, minimal depression, or loss of appropriate discordance), but also within the QRS complex, to check whether the baseline ECG is normal or affected by frequent abnormalities (ventricular hypertrophy, bundle-branch block...).

Translated title of the contribution	ECG for the diagnosis of acute coronary syndrome: Part 2. The repolarization abnormalities
Original language	French
Pages (from-to)	79-88
Number of pages	10
Journal	Annales Francaises de Medecine d'Urgence
Volume	3
Issue number	2
DOIs	https://doi.org/10.1007/s13341-012-0272-z
State	Published - Mar 20 2013

Keywords

Acute coronary syndrome
Bundle-branch block
Diagnosis
ECG
Electrocardiogram
Ventricular hypertrophy

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10.1007/s13341-012-0272-z

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title = "Diagnostic ECG du syndrome coronarien aigu: Partie 2. Les anomalies de la repolarisation",

abstract = "This review updates the clinician to the many typical, but also underappreciated and subtle, ECG signs of myocardial ischemia and infarction. This compilation explains the dynamic changes during severe myocardial ischemia (schematically, abnormal T-wave then ST-segment and QRS complex) and illustrates in detail the heterogeneity of the ECG representations. It emphasizes the importance of seeking any abnormality in the T-wave (amplitude or polarity not conforming to QRS, symmetry at the base), ST-segment (excessive elevation, minimal depression, or loss of appropriate discordance), but also within the QRS complex, to check whether the baseline ECG is normal or affected by frequent abnormalities (ventricular hypertrophy, bundle-branch block...).",

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AU - Taboulet, P.

AU - Smith, S. W.

AU - Brady, W. J.

PY - 2013/3/20

Y1 - 2013/3/20

N2 - This review updates the clinician to the many typical, but also underappreciated and subtle, ECG signs of myocardial ischemia and infarction. This compilation explains the dynamic changes during severe myocardial ischemia (schematically, abnormal T-wave then ST-segment and QRS complex) and illustrates in detail the heterogeneity of the ECG representations. It emphasizes the importance of seeking any abnormality in the T-wave (amplitude or polarity not conforming to QRS, symmetry at the base), ST-segment (excessive elevation, minimal depression, or loss of appropriate discordance), but also within the QRS complex, to check whether the baseline ECG is normal or affected by frequent abnormalities (ventricular hypertrophy, bundle-branch block...).

AB - This review updates the clinician to the many typical, but also underappreciated and subtle, ECG signs of myocardial ischemia and infarction. This compilation explains the dynamic changes during severe myocardial ischemia (schematically, abnormal T-wave then ST-segment and QRS complex) and illustrates in detail the heterogeneity of the ECG representations. It emphasizes the importance of seeking any abnormality in the T-wave (amplitude or polarity not conforming to QRS, symmetry at the base), ST-segment (excessive elevation, minimal depression, or loss of appropriate discordance), but also within the QRS complex, to check whether the baseline ECG is normal or affected by frequent abnormalities (ventricular hypertrophy, bundle-branch block...).

KW - Acute coronary syndrome

KW - Bundle-branch block

KW - Diagnosis

KW - ECG

KW - Electrocardiogram

KW - Ventricular hypertrophy

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Diagnostic ECG du syndrome coronarien aigu: Partie 2. Les anomalies de la repolarisation

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