Prehospital diagnosis of ST-segment elevation myocardial infarction using an "all-posterior" 12-lead electrocardiogram

Christopher S. Russi; Lucas A. Myers; Logan J. Kolb; Kevin Steever; David M. Nestler; Mary Christine Bjerke; Roger D. White; Henry H. Ting

doi:10.3109/10903127.2011.561414

Prehospital diagnosis of ST-segment elevation myocardial infarction using an "all-posterior" 12-lead electrocardiogram

Christopher S. Russi, Lucas A. Myers, Logan J. Kolb, Kevin Steever, David M. Nestler, Mary Christine Bjerke, Roger D. White, Henry H. Ting

Cardiovascular Medicine

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

2 Scopus citations

Abstract

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.

Original language	English (US)
Pages (from-to)	410-413
Number of pages	4
Journal	Prehospital Emergency Care
Volume	15
Issue number	3
DOIs	https://doi.org/10.3109/10903127.2011.561414
State	Published - Jul 2011

Keywords

Electrocardiogram
ST-segment elevation myocardial infarction
all-posterior positioning
emergency medical services

ASJC Scopus subject areas

Emergency Medicine
Emergency

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10.3109/10903127.2011.561414

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abstract = "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.",

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AU - Kolb, Logan J.

AU - Steever, Kevin

AU - Nestler, David M.

AU - Bjerke, Mary Christine

AU - White, Roger D.

AU - Ting, Henry H.

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KW - Electrocardiogram

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KW - emergency medical services

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Prehospital diagnosis of ST-segment elevation myocardial infarction using an "all-posterior" 12-lead electrocardiogram

Abstract

Keywords

ASJC Scopus subject areas

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