Akutes Koronarsyndrom mit ST‑Strecken-Hebung

Haude, Michael; Rupprecht, H J; Schuster, Sylvie; Uebis, R.

doi:10.1007/s00059-018-4775-2

Cited by 1 publication

(1 citation statement)

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“…B. Kaltschweißigkeit. Darüber hinaus ist im 12-Kanal-Ruhe-EKG eine signifikante ST-Streckenhebung oder ein entsprechendes Äquivalent sichtbar [3]. Die ST-Streckenhebung im EKG zeigt an, dass es sich bei der myokardialen Ischämie um eine transmurale Ischämie handelt, die in der Regel mit einem Verschluss einer epikardialen Koronararterie verbunden ist.…”

Section: Ekg Bei Stemiunclassified

STEMI-Äquivalente im EKG – eine fallbasierte Darstellung

Beckenbauer¹,

Pereyra²,

Ong³

2020

Dtsch med Wochenschr

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The 12-lead resting ECG remains an indispensable diagnostic tool in patients with acute chest pain. This is particularly important as the identification of ST-segment elevations leads to the diagnosis of ST-segment elevation myocardial infarction (STEMI) and subsequent, immediate coronary reperfusion (usually via primary PCI). However, correct interpretation of the 12-lead ECG in patients with acute chest pain remains challenging. Apart from “classical” ST-segment elevations there are several “equivalents” in the ECG pointing towards an acute coronary occlusion. Among these, hyperacute T-waves, subtle ST-segment elevations, ST-segment elevation in leads aVR/V1 with concomitant ST-segment depression in ≥ 8 other leads and high R-peak with positive T-waves combined with horizontal ST-segment depression in leads V1/V2 can be found. This article provides a case-based presentation of STEMI equivalents on the ECG in order to improve correct ECG interpretation and prognosis of such patients.

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Section: Ekg Bei Stemiunclassified