Evolution of an automated ST-segment analysis program for dynamic real-time, noninvasive detection of coronary occlusion and reperfusion.

Autor: Veldkamp RF; Ischemia Monitoring Laboratory, Duke University Medical Center, Durham, North Carolina 27710., Bengtson JR, Sawchak ST, Pope JE, Mertens JR, Mortara DW, Califf RM, Krucoff MW
Jazyk: angličtina
Zdroj: Journal of electrocardiology [J Electrocardiol] 1992; Vol. 25 Suppl, pp. 182-7.
DOI: 10.1016/0022-0736(92)90098-k
Abstrakt: Patients in whom early and stable reperfusion through the infarct artery fails after thrombolytic treatment might benefit from further revascularization therapy. A reliable noninvasive technique able to detect both reperfusion and reocclusion would be useful to test this hypothesis. However, no such technique presently exists. ST-segment recovery analysis using continuous digital 12-lead ST monitoring has been shown to be an accurate predictor of infarct artery patency in real time. This method was dependent on a trained clinician's analysis of the recordings on a personal computer. For optimal bedside application, salient principles of this ST-segment recovery analysis were converted into algorithms and built into the ST monitor software. The essentials of these algorithms are described in this report.
Databáze: MEDLINE