ST segment elevations: Always a marker of acute myocardial infarction?

G. Coppola, P. Carità, E. Corrado, A. Borrelli, A. Rotolo, M. Guglielmo, C. Nugara, L. Ajello, M. Santomauro, S. Novo

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Chest pain is one of the chief presenting complaints among patients attending Emergency department. The diagnosis of acute myocardial infarction may be a challenge. Various tools such as anamnesis, blood sample (with evaluation of markers of myocardial necrosis), ultrasound techniques and coronary computed tomography could be useful. However, the interpretation of electrocardiograms of these patients may be a real concern. The earliest manifestations of myocardial ischemia typically interest T waves and ST segment. Despite the high sensitivity, ST segment deviation has however poor specificity since it may be observed in many other cardiac and non-cardiac conditions. Therefore, when STeT abnormalities are detected the physicians should take into account many other parameters (such as risk factors, symptoms and anamnesis) and all the other differential diagnoses. The aim of our review is to overview of the main conditions that may mimic a ST segment Elevation Myocardial Infarction (STEMI).

Original languageEnglish
Pages (from-to)412-423
Number of pages12
JournalIndian Heart Journal
Volume65
Issue number4
DOIs
Publication statusPublished - Jul 2013

Fingerprint

Myocardial Infarction
Chest Pain
Myocardial Ischemia
Hospital Emergency Service
Electrocardiography
Differential Diagnosis
Necrosis
Tomography
Physicians
ST Elevation Myocardial Infarction

Keywords

  • Chest pain
  • Differential diagnosis
  • ECG
  • Myocardial infarction
  • ST segment

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Coppola, G., Carità, P., Corrado, E., Borrelli, A., Rotolo, A., Guglielmo, M., ... Novo, S. (2013). ST segment elevations: Always a marker of acute myocardial infarction? Indian Heart Journal, 65(4), 412-423. https://doi.org/10.1016/j.ihj.2013.06.013

ST segment elevations : Always a marker of acute myocardial infarction? / Coppola, G.; Carità, P.; Corrado, E.; Borrelli, A.; Rotolo, A.; Guglielmo, M.; Nugara, C.; Ajello, L.; Santomauro, M.; Novo, S.

In: Indian Heart Journal, Vol. 65, No. 4, 07.2013, p. 412-423.

Research output: Contribution to journalArticle

Coppola, G, Carità, P, Corrado, E, Borrelli, A, Rotolo, A, Guglielmo, M, Nugara, C, Ajello, L, Santomauro, M & Novo, S 2013, 'ST segment elevations: Always a marker of acute myocardial infarction?', Indian Heart Journal, vol. 65, no. 4, pp. 412-423. https://doi.org/10.1016/j.ihj.2013.06.013
Coppola, G. ; Carità, P. ; Corrado, E. ; Borrelli, A. ; Rotolo, A. ; Guglielmo, M. ; Nugara, C. ; Ajello, L. ; Santomauro, M. ; Novo, S. / ST segment elevations : Always a marker of acute myocardial infarction?. In: Indian Heart Journal. 2013 ; Vol. 65, No. 4. pp. 412-423.
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