Electrocardiographic Patterns Mimicking ST Segment Elevation Myocardial Infarction

Peter Pollak, William Brady

Research output: Contribution to journalReview article

15 Scopus citations

Abstract

The 12-lead electrocardiogram (ECG) remains the cornerstone of prompt diagnosis of STEMI; Furthermore, the 12-lead ECG provides the primary indication for emergent reperfuison therapy in the STEMI patient. In certain cases, a patient's ECG can resemble STEMI yet manifest ST-segment elevation from a non-coronary-based syndrome; these entities are termed the STEMI mimics and include benign early repolarization, acute pericarditis, and left ventricular aneurysm, to name only a few. In other situations, the patient's ECG makes it difficult or impossible to determine whether STEMI is present, the so-called STEMI confounders and include left bundle branch block pattern, left ventricular hypertrophypattern, and the ventricular paced pattern. The goal with STEMI mimics and confounders is to maximize rapid, accurate diagnosis while avoiding delays in treatment of alternative causes of ST-segment elevation.

Original languageEnglish (US)
Pages (from-to)601-615
Number of pages15
JournalCardiology Clinics
Volume30
Issue number4
DOIs
StatePublished - Nov 2012
Externally publishedYes

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Keywords

  • ECG
  • Electrocardiogram
  • Mimic
  • ST segment elevation
  • STEMI

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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