OBJECTIVEEvaluate correlations between variations in eletrocardiogram (ECG) recordings and acute myocardial infarction.
METHODSUse of a low-cost software to digitalize printed and/or ".pdf" fi le format ECG recordings. Calculation of STsegment area and amplitudes of the J and Y points.
RESULTSThe amplitude of the Y point holds maximum correlation with troponin concentration. ST-segment elevation is not a good statistical indicator of myocardial infarction severity. There is a strong negative correlation between the amplitude of the J point and the amount of magnesium ions, but no statistical correlation with sodium or calcium ions. Neither method for calculating the STsegment area (pixel counts and interpolation) indicated any signifi cant differences in the results.
CONCLUSIONThe software used proved to be functional and costeffective. Y point amplitude is a sensitive marker of myocardial infarction, and is also a calculation method both simpler to use and less subject to error than the calculation of the ST-segment elevation area.
KEY WORDSAcute myocardial infarction, telemedicine, eletrocardiogram.