Diagnostic ECG du syndrome coronarien aigu. Partie 3. Les anomalies des complexes QRS

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

doi:10.1007/s13341-013-0279-5

Diagnostic ECG du syndrome coronarien aigu. Partie 3. Les anomalies des complexes QRS

Translated title of the contribution: ECG for the diagnosis of acute coronary syndrome. Part 3. The QRS complexes abnormalities

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

Emergency Medicine

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

ECG signs suggestive of acute coronary syndrome are generally based on the analysis of the repolarization. However, the typical signs can be missing or hidden behind a preexisting abnormality. Thus, is it essential to examine the QRS complexes, whether thin or large, to reinforce a positive diagnosis and specify the stage of ischemia. There are four dynamic signs: the terminal distortion, the absence or the inappropriate R-waves growth, the occurrence of new Q waves and the QRS-complexes fragmentation and their equivalents in case of bundle branch block. Each of these signs provide information on the territory and the severity of ischemia, which may influence the therapeutic.

Translated title of the contribution	ECG for the diagnosis of acute coronary syndrome. Part 3. The QRS complexes abnormalities
Original language	French
Pages (from-to)	151-159
Number of pages	9
Journal	Annales Francaises de Medecine d'Urgence
Volume	3
Issue number	3
DOIs	https://doi.org/10.1007/s13341-013-0279-5
State	Published - May 1 2013

Keywords

Acute coronary syndrome
Bundle-branch block
Diagnosis
ECG
Electrocardiogram
Myocardial infarction

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10.1007/s13341-013-0279-5

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abstract = "ECG signs suggestive of acute coronary syndrome are generally based on the analysis of the repolarization. However, the typical signs can be missing or hidden behind a preexisting abnormality. Thus, is it essential to examine the QRS complexes, whether thin or large, to reinforce a positive diagnosis and specify the stage of ischemia. There are four dynamic signs: the terminal distortion, the absence or the inappropriate R-waves growth, the occurrence of new Q waves and the QRS-complexes fragmentation and their equivalents in case of bundle branch block. Each of these signs provide information on the territory and the severity of ischemia, which may influence the therapeutic.",

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AU - Smith, Stephen W

AU - Brady, W. J.

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Y1 - 2013/5/1

N2 - ECG signs suggestive of acute coronary syndrome are generally based on the analysis of the repolarization. However, the typical signs can be missing or hidden behind a preexisting abnormality. Thus, is it essential to examine the QRS complexes, whether thin or large, to reinforce a positive diagnosis and specify the stage of ischemia. There are four dynamic signs: the terminal distortion, the absence or the inappropriate R-waves growth, the occurrence of new Q waves and the QRS-complexes fragmentation and their equivalents in case of bundle branch block. Each of these signs provide information on the territory and the severity of ischemia, which may influence the therapeutic.

AB - ECG signs suggestive of acute coronary syndrome are generally based on the analysis of the repolarization. However, the typical signs can be missing or hidden behind a preexisting abnormality. Thus, is it essential to examine the QRS complexes, whether thin or large, to reinforce a positive diagnosis and specify the stage of ischemia. There are four dynamic signs: the terminal distortion, the absence or the inappropriate R-waves growth, the occurrence of new Q waves and the QRS-complexes fragmentation and their equivalents in case of bundle branch block. Each of these signs provide information on the territory and the severity of ischemia, which may influence the therapeutic.

KW - Acute coronary syndrome

KW - Bundle-branch block

KW - Diagnosis

KW - ECG

KW - Electrocardiogram

KW - Myocardial infarction

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