The ECG in Acute Myocardial Infarction and Unstable Angina Diagnosis
The electrocardiogram (ECG) remains the most accessible and inexpensive diagnostic tool to evaluate the patient presenting with symptoms suggestive of acute myocardial ischemia. It plays a crucial role in decision making about the aggressiveness of therap
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Developments in Cardiovascular Medicine 232. A. Bayés de Luna, F. Furlanello, B.J. Maron and D.P. Zipes (eds.): ISBN: 0-7923-6337-X Arrhythmias and Sudden Death in Athletes. 2000 233. J-C. Tardif and M.G. Bourassa (eds): Antioxidants and Cardiovascular Disease. 2000. ISBN: 0-7923-7829-6 234. J. Candell-Riera, J. Castell-Conesa, S. Aguadé Bruiz (eds): Myocardium at Risk and Viable Myocardium Evaluation by SPET. 2000.ISBN: 0-7923-6724-3 235. M.H. Ellestad and E. Amsterdam (eds): Exercise Testing: New Concepts for the New Century. 2001. ISBN: 0-7923-7378-2 236. Douglas L. Mann (ed.): The Role of Inflammatory Mediators in the Failing Heart. 2001 ISBN: 0-7923-7381-2 237. Donald M. Bers (ed.): Excitation-Contraction Coupling and Cardiac Contractile Force, Second Edition. 2001 ISBN: 0-7923-7157-7 238. Brian D. Hoit, Richard A. Walsh (eds.): Cardiovascular Physiology in the Genetically Engineered Mouse, Second Edition. 2001 ISBN 0-7923-7536-X 239. Pieter A. Doevendans, A.A.M. Wilde (eds.): Cardiovascular Genetics for Clinicians 2001 ISBN 1-4020-0097-9 240. Stephen M. Factor, Maria A.Lamberti-Abadi, Jacobo Abadi (eds.): Handbook of Pathology and Pathophysiology of Cardiovascular Disease. 2001 ISBN 0-7923-7542-4 241. Liong Bing Liem, Eugene Downar (eds): Progress in Catheter Ablation. 2001 ISBN 1-4020-0147-9 242. Pieter A. Doevendans, Stefan Kääb (eds): Cardiovascular Genomics: New Pathophysiological Concepts. 2002 ISBN 1-4020-7022-5 243. Antonio Pacifico (ed.), Philip D. Henry, Gust H. Bardy, Martin Borggrefe, Francis E. Marchlinski, Andrea Natale, Bruce L. Wilkoff (assoc. eds): Implantable Defibrillator Therapy: A Clinical Guide. 2002 ISBN 1-4020-7143-4 244. Hein J.J. Wellens, Anton P.M. Gorgels, Pieter A. Doevendans (eds.): The ECG in Acute Myocardial Infarction and Unstable Angina: Diagnosis and Risk Stratification. 2002 ISBN 1-4020-7214-7
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THE ECG IN ACUTE MYOCARDIAL INFARCTION AND UNSTABLE ANGINA Diagnosis and Risk Stratification by Hein J.J. Wellens Anton P.M. Gorgels Academic Hospital, Maastricht The Netherlands and
Pieter A. Doevendans, MD Interuniversity Cardiology Institute of The Netherlands Utrecht, The Netherlands
KLUWER ACADEMIC PUBLISHERS NEW YORK, BOSTON, DORDRECHT, LONDON, MOSCOW
eBook ISBN: Print ISBN:
0-306-48202-9 1-4020-7214-7
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CONTENTS
Chapter 1
Introduction
Chapter 2
Determining the size of the area at risk, the severity
1
of ischemia, and identifying the site of occlusion in the culprit coronary artery
5
A.
The ST segment deviation score
9
B.
The terminal QRS-ST segment pattern
