Role of the ECG in initial acute coronary syndrome triage: primary PCI regardless presence of ST elevation or of non-ST elevation
| Autor: | D. Schoors, J. J. R. M. Bonnier, M.J. Schalij, Cees A. Swenne, B. B. L. M. IJkema |
|---|---|
| Přispěvatelé: | Cardio-vascular diseases |
| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
ST Elevation
Complete occlusion medicine.medical_specialty Acute coronary syndrome endocrine system Non-ST-Elevation medicine.medical_treatment Ischemia Review Article Internal medicine Antithrombotic medicine cardiovascular diseases business.industry Unstable angina ST elevation Percutaneous coronary intervention medicine.disease Collateral circulation Electrocardiogram Conventional PCI Cardiology Medical emergency Triage business Cardiology and Cardiovascular Medicine Incomplete occlusion |
| Zdroj: | Netherlands Heart Journal, 22(11), 484-490 Netherlands Heart Journal |
| Popis: | The major initial triaging decision in acute coronary syndrome (ACS) is whether or not percutaneous coronary intervention (PCI) is the primary treatment. Current guidelines recommend primary PCI in ST-elevation ACS (STEACS) and initial antithrombotic therapy in non-ST-elevation ACS (NSTEACS). This review probes the question whether this decision can indeed be based on the ECG. Genesis of STE/NSTE ECGs depends on the coronary anatomy, collateral circulation and site of the culprit lesion. Other causes than ischaemia may also result in ST-segment changes. It has been demonstrated that the area at risk cannot reliably be estimated by the magnitude of the ST change, that complete as well as incomplete occlusions can cause STE as well as NSTE ECGs, and that STE and NSTE patterns cannot differentiate between transmural and non-transmural ischaemia. Furthermore, unstable angina can occur with STE and NSTE ECGs. We conclude that the ECG can be used to assist in detecting ischaemia, but that electrocardiographic STE and NSTE patterns are not uniquely related to distinctly different pathophysiological mechanisms. Hence, in ACS, primary PCI might be considered regardless of the nature of the ST deviation, and it should be done with the shortest possible delay, because ‘time is muscle’. |
| Databáze: | OpenAIRE |
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