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EKG ST segment changes

MedGen UID:
534443
•Concept ID:
C0232326
•
Finding
Synonyms: ECG ST segment changes; Electrocardiographic ST segment changes; S-T changes
SNOMED CT: EKG ST segment changes (55930002); ECG ST segment changes (55930002); Electrocardiographic ST segment changes (55930002); S-T changes (55930002)

Professional guidelines

PubMed

Acute Coronary Syndrome: Diagnosis and Initial Management.
Nohria R, Viera AJ
Am Fam Physician 2024 Jan;109(1):34-42. PMID: 38227869
The Diagnosis, Risk Stratification, and Treatment of Brugada Syndrome.
Steinfurt J, Biermann J, Bode C, Odening KE
Dtsch Arztebl Int 2015 Jun 5;112(23):394-401. doi: 10.3238/arztebl.2015.0394. PMID: 26157012Free PMC Article
Acute pericarditis: diagnosis and management.
Snyder MJ, Bepko J, White M
Am Fam Physician 2014 Apr 1;89(7):553-60. PMID: 24695601

Recent clinical studies

Etiology

Acute Coronary Syndrome: Diagnosis and Initial Management.
Nohria R, Viera AJ
Am Fam Physician 2024 Jan;109(1):34-42. PMID: 38227869
Coronary angiography after cardiac arrest.
Nikolaou NI
Curr Opin Crit Care 2023 Jun 1;29(3):186-191. Epub 2023 Mar 20 doi: 10.1097/MCC.0000000000001036. PMID: 37078634
Electrocardiographic manifestations of COVID-19.
Long B, Brady WJ, Bridwell RE, Ramzy M, Montrief T, Singh M, Gottlieb M
Am J Emerg Med 2021 Mar;41:96-103. Epub 2020 Dec 29 doi: 10.1016/j.ajem.2020.12.060. PMID: 33412365Free PMC Article
Acute Chest Pain in Adults: Outpatient Evaluation.
McConaghy JR, Sharma M, Patel H
Am Fam Physician 2020 Dec 15;102(12):721-727. PMID: 33320506
ECG diagnosis and classification of acute coronary syndromes.
Birnbaum Y, Wilson JM, Fiol M, de Luna AB, Eskola M, Nikus K
Ann Noninvasive Electrocardiol 2014 Jan;19(1):4-14. Epub 2013 Dec 30 doi: 10.1111/anec.12130. PMID: 24382164Free PMC Article

Diagnosis

Postcardioversion ST-segment changes.
Briosa E Gala A, Paisey J
Emerg Med J 2021 Nov;38(11):854-866. doi: 10.1136/emermed-2021-211515. PMID: 34686539
Diagnostic and prognostic role of electrocardiogram in acute myocarditis: A comprehensive review.
Buttà C, Zappia L, Laterra G, Roberto M
Ann Noninvasive Electrocardiol 2020 May;25(3) Epub 2019 Nov 28 doi: 10.1111/anec.12726. PMID: 31778001Free PMC Article
ECG diagnosis and classification of acute coronary syndromes.
Birnbaum Y, Wilson JM, Fiol M, de Luna AB, Eskola M, Nikus K
Ann Noninvasive Electrocardiol 2014 Jan;19(1):4-14. Epub 2013 Dec 30 doi: 10.1111/anec.12130. PMID: 24382164Free PMC Article
The evolution of electrocardiographic changes in ST-segment elevation myocardial infarction.
Nable JV, Brady W
Am J Emerg Med 2009 Jul;27(6):734-46. doi: 10.1016/j.ajem.2008.05.025. PMID: 19751632
Gradual changes of ECG waveform during and after exercise in normal subjects.
Simoons ML, Hugenholtz PG
Circulation 1975 Oct;52(4):570-7. doi: 10.1161/01.cir.52.4.570. PMID: 1157270

Therapy

Coronary angiography after cardiac arrest.
Nikolaou NI
Curr Opin Crit Care 2023 Jun 1;29(3):186-191. Epub 2023 Mar 20 doi: 10.1097/MCC.0000000000001036. PMID: 37078634
Electrocardiographic Features of Immune Checkpoint Inhibitor-Associated Myocarditis.
Song W, Zheng Y, Dong M, Zhong L, Bazoukis G, Perone F, Li G, Ng CF, Baranchuk A, Tse G, Liu T
Curr Probl Cardiol 2023 Feb;48(2):101478. Epub 2022 Nov 3 doi: 10.1016/j.cpcardiol.2022.101478. PMID: 36336121
Brugada Syndrome.
Krahn AD, Behr ER, Hamilton R, Probst V, Laksman Z, Han HC
JACC Clin Electrophysiol 2022 Mar;8(3):386-405. doi: 10.1016/j.jacep.2021.12.001. PMID: 35331438
Postcardioversion ST-segment changes.
Briosa E Gala A, Paisey J
Emerg Med J 2021 Nov;38(11):854-866. doi: 10.1136/emermed-2021-211515. PMID: 34686539
Acute pericarditis.
Tingle LE, Molina D, Calvert CW
Am Fam Physician 2007 Nov 15;76(10):1509-14. PMID: 18052017

Prognosis

Acute Chest Pain in Adults: Outpatient Evaluation.
McConaghy JR, Sharma M, Patel H
Am Fam Physician 2020 Dec 15;102(12):721-727. PMID: 33320506
Diagnostic and prognostic role of electrocardiogram in acute myocarditis: A comprehensive review.
Buttà C, Zappia L, Laterra G, Roberto M
Ann Noninvasive Electrocardiol 2020 May;25(3) Epub 2019 Nov 28 doi: 10.1111/anec.12726. PMID: 31778001Free PMC Article
Ischemia-induced ST-segment elevation: classification, prognosis, and therapy.
Atar S, Birnbaum Y
J Electrocardiol 2005 Oct;38(4 Suppl):1-7. doi: 10.1016/j.jelectrocard.2005.06.098. PMID: 16226066
Left ventricular pseudoaneurysm.
Frances C, Romero A, Grady D
J Am Coll Cardiol 1998 Sep;32(3):557-61. doi: 10.1016/s0735-1097(98)00290-3. PMID: 9741493
The aging electrocardiogram.
Jones J, Srodulski ZM, Romisher S
Am J Emerg Med 1990 May;8(3):240-5. doi: 10.1016/0735-6757(90)90331-s. PMID: 2184809

Clinical prediction guides

Acute Coronary Syndrome: Diagnosis and Initial Management.
Nohria R, Viera AJ
Am Fam Physician 2024 Jan;109(1):34-42. PMID: 38227869
Early ischemic ST-segment and T-wave changes during balloon angioplasty.
Pessah MA, Huhtala H, Kosonen P, Eskola M, Pérez-Riera AR, Nikus K, Rankinen J
J Electrocardiol 2022 Jul-Aug;73:87-95. Epub 2022 Jun 16 doi: 10.1016/j.jelectrocard.2022.06.003. PMID: 35738147
Acute Chest Pain in Adults: Outpatient Evaluation.
McConaghy JR, Sharma M, Patel H
Am Fam Physician 2020 Dec 15;102(12):721-727. PMID: 33320506
Electrocardiogram in pneumonia.
Stein PD, Matta F, Ekkah M, Saleh T, Janjua M, Patel YR, Khadra H
Am J Cardiol 2012 Dec 15;110(12):1836-40. Epub 2012 Sep 21 doi: 10.1016/j.amjcard.2012.08.019. PMID: 23000104
Gradual changes of ECG waveform during and after exercise in normal subjects.
Simoons ML, Hugenholtz PG
Circulation 1975 Oct;52(4):570-7. doi: 10.1161/01.cir.52.4.570. PMID: 1157270

Recent systematic reviews

Arrhythmias and electrocardiographic findings in Coronavirus disease 2019: A systematic review and meta-analysis.
Garcia-Zamora S, Lee S, Haseeb S, Bazoukis G, Tse G, Alvarez-Garcia J, Gul EE, Çinier G, Alexander B, Martins Pinto-Filho M, Liu T, Baranchuk A
Pacing Clin Electrophysiol 2021 Jun;44(6):1062-1074. Epub 2021 May 18 doi: 10.1111/pace.14247. PMID: 33890684Free PMC Article
The association of cannabis use and cardiac dysrhythmias: a systematic review.
Richards JR, Blohm E, Toles KA, Jarman AF, Ely DF, Elder JW
Clin Toxicol (Phila) 2020 Sep;58(9):861-869. Epub 2020 Apr 8 doi: 10.1080/15563650.2020.1743847. PMID: 32267189
Electrocardiographic and Seasonal Patterns Allow Accurate Differentiation of Tako-Tsubo Cardiomyopathy from Acute Anterior Myocardial Infarction: Results of a Multicenter Study and Systematic Overview of Available Studies.
Çatalkaya Demir S, Demir E, Çatalkaya S
Biomolecules 2019 Jan 30;9(2) doi: 10.3390/biom9020051. PMID: 30704132Free PMC Article
Case report and systematic review of pulmonary embolism mimicking ST-elevation myocardial infarction.
Villablanca PA, Vlismas PP, Aleksandrovich T, Omondi A, Gupta T, Briceno DF, Garcia MJ, Wiley J
Vascular 2019 Feb;27(1):90-97. Epub 2018 Jul 30 doi: 10.1177/1708538118791917. PMID: 30056785
Early coronary angiography in patients resuscitated from out of hospital cardiac arrest without ST-segment elevation: A systematic review and meta-analysis.
Khan MS, Shah SMM, Mubashir A, Khan AR, Fatima K, Schenone AL, Khosa F, Samady H, Menon V
Resuscitation 2017 Dec;121:127-134. Epub 2017 Oct 24 doi: 10.1016/j.resuscitation.2017.10.019. PMID: 29079508

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