This guide to the proper use of the ECG in diagnosing acute
myocardial infarction puts the combined experience of international
authorities at your fingertips for immediate use. In The 12 Lead
ECG in ST Elevation MI: A Practical Approach for Clinicians,
Drs. Bayés de Luna, Fiol-Sala and Antman supply the practical,
specific information you need to determine which patients with ACS
are showing ST elevation.
To facilitate correct diagnosis and guide management, the
authors use a consistent sequence to explain the ECG abnormalities
for each site of coronary occlusion. A schematic of the coronary
tree illustrates the point of occlusion.
The second part of the book contains a self-assessment section with
a series of 15 cases, each of which includes one or more 12-lead
ECGs for analysis. These valuable examples help you prepare for
on-the-spot interpretation in the emergency department or intensive
care unit.
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Foreword.
Introduction.
1 The heart walls and coronary circulation.
The heart walls and their segmentation: The importance of
uniform nomenclature.
Coronary circulation: The perfusion of the heart walls.
2 The ECG changes in ST elevation myocardial
infarction.
3 The concept of injury vector: direct and reciprocal
patterns.
4 Clinical interpretation and significance of ST
changes.
Location of the occlusion and risk stratification: the role of
deviations of the ST-segment.
1. From the occluded artery to the area at risk and
thecorresponding electrocardiographic abnormality.
2. From the electrocardiographic pattern to the occluded artery
and the area at risk.
Other characteristics of ST elevation regarding prognosis.
ST changes in patients with ischemia due to multivessel
occlusion.
5 Conclusions.
6 Self-assessment.
References.
Index.
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Dr. Antonio Bayés de Luna is Director of the Institut
Catala de Cardiologia – Hospital Sant Pau, Barcelona, and Full
Professor of Cardiology in the Universidad Autónoma de
Barcelona.
Dr. Miguel Fiol-Sala is chief of the intensive coronary
care unit in Hospital Son Dureta, Palma, Mallorca.
Elliott M. Antman, M.D. is the Professor of Medicine at
the Harvard Medical School and Director of the Samuel A. Levine
Cardiac Unit at the Brigham and Women’s Hospital in Boston,
Massachusetts.