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Postgrad Med J 2003;79:490-504 doi:10.1136/pmj.79.935.490
  • Review

The electrocardiogram in ST elevation acute myocardial infarction: correlation with coronary anatomy and prognosis

  1. Y Birnbaum1,
  2. B J Drew2
  1. 1University of Texas Medical Branch, Galveston, Texas
  2. 2University of California, San Francisco
  1. Correspondence and reprint requests to:
 Professor Yochai Birnbaum, Division of Cardiology, University of Texas Medical Branch, 5, 106 John Sealy Annex, 301 University Blvd, Galveston, TX 77555–0553, USA; 
 yobirnba{at}utmb.edu
  • Received 14 August 2002
  • Accepted 28 May 2003

Abstract

The electrocardiogram is considered an essential part of the diagnosis and initial evaluation of patients with chest pain. This review summarises the information that can be obtained from the admission electrocardiogram in patients with ST elevation acute myocardial infarction, with emphasis on: (1) prediction of infarct size, (2) estimation of prognosis, and (3) the correlations between various electrocardiographic patterns and the localisation of the infarct and the underlying coronary anatomy.

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