Prognostic value of ST-segment resolution - When and what to measure

European Heart Journal

Volumn 24, Issue 4, 2003, Pages 337-345

  Johanson, Per ^a   Jernberg, Tomas ^b   Gunnarson, G Gunnar ^a   Lindahl, Bertil ^b   Wallentin, Lars ^b   Dellborg, Mikael ^a  

^a SAHLGRENSKA UNIVERSITY HOSPITAL   (Sweden)

^b UPPSALA UNIVERSITY HOSPITAL   (Sweden)

Author keywords

Acute myocardial infarction; Electrocardiography; Prognosis

Indexed keywords

ACUTE HEART INFARCTION; ADULT; AGED; ARTICLE; CARDIOVASCULAR RISK; CONTROLLED STUDY; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; MORTALITY; PREDICTION; PRIORITY JOURNAL; PROGNOSIS; ST SEGMENT; VECTORCARDIOGRAPHY;

AGED; ELECTROCARDIOGRAPHY; FEMALE; HUMANS; MALE; MYOCARDIAL INFARCTION; PROGNOSIS; PROSPECTIVE STUDIES; REFERENCE VALUES; RISK ASSESSMENT; RISK FACTORS; SURVIVAL RATE; VECTORCARDIOGRAPHY;

EID: 0037319722     PISSN: 0195668X     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0195-668X(02)00739-X     Document Type: Article

References (30)

1. Shah A, Wagner GS, Granger CB et al. Prognostic implications of TIMI flow grade in the infarct related artery compared with continuous 12-lead ST-segment resolution analysis. Reexamining the 'gold standard' for myocardial reperfusion assessment. J Am Coll Cardiol 2000; 35(3):666-72.
2. van 't Hof AW, Liem A, de Boer MJ et al. Clinical value of 12-lead electrocardiogram after successful reperfusion therapy for acute myocardial infarction. Zwolle Myocardial Infarction Study Group. Lancet 1997;350(9078):615-9.
3. Dellborg M, Topol EJ, Swedberg K. Dynamic QRS complex and ST segment vectorcardiographic monitoring can identify vessel patency in patients with acute myocardial infarction treated with reperfusion therapy. Am Heart J 1991;122(4 Pt 1):943-8.
4. Lincoff AM, Topol EJ. Illusion of reperfusion. Does anyone achieve optimal reperfusion during acute myocardial infarction? Circulation 1993;88(3):1361-74.
5. Ito H, Tomooka T, Sakai N et al. Lack of myocardial perfusion immediately after successful thrombolysis. A predictor of poor recovery of left ventricular function in anterior myocardial infarction. Circulation 1992;85(5):1699-705.
6. van 't Hof AW, Liem A, Suryapranata H et al. Angiographic assessment of myocardial reperfusion in patients treated with primary angioplasty for acute myocardial infarction: myocardial blush grade. Zwolle Myocardial Infarction Study Group. Circulation 1998;97(23):2302-6.
7. Barbash GI, Roth A, Hod H et al. Rapid resolution of ST elevation and prediction of clinical outcome in patients undergoing thrombolysis with alteplase (recombinant tissue-type plasminogen activator): results of the Israeli Study of Early Intervention in Myocardial Infarction. Br Heart J 1990;64(4):241-7.
8. Mauri F, Maggioni AP, Franzosi MG et al. A simple electrocardiographic predictor of the outcome of patients with acute myocardial infarction treated with a thrombolytic agent. A Gruppo Italiano per lo Studio della Sopravvivenza nell'Infarto Miocardico (GISSI-2)-Derived Analysis. J Am Coll Cardiol 1994;24(3):600-7.
9. Lundin P, Eriksson SV, Strandberg LE et al. Prognostic information from on-line vectorcardiography in acute myocardial infarction. Am J Cardiol 1994;74(11):1103-8.
10. Schroder R, Wegscheider K, Schroder K et al. Extent of early ST segment elevation resolution: a strong predictor of outcome in patients with acute myocardial infarction and a sensitive measure to compare thrombolytic regimens. A substudy of the International Joint Efficacy Comparison of Thrombolytics (INJECT) trial. J Am Coll Cardiol 1995; 26(7):1657-64.
11. Krucoff MW, Green CE, Satler LF et al. Noninvasive detection of coronary artery patency using continuous ST-segment monitoring. Am J Cardiol 1986;57(11):916-22.
12. Saran RK, Been M, Furniss SS et al. Reduction in ST segment elevation after thrombolysis predicts either coronary reperfusion or preservation of left ventricular function. Br Heart J 1990;64(2):113-7.
13. Clemmensen P, Ohman EM, Sevilla DC et al. Changes in standard electrocardiographic ST-segment elevation predictive of successful reperfusion in acute myocardial infarction. Am J Cardiol 1990;66(20):1407-11.
14. Dellborg M, Steg PG, Simoons M et al. Vectorcardiographic monitoring to assess early vessel patency after reperfusion therapy for acute myocardial infarction. Eur Heart J 1995;16(1):21-9.
15. Klootwijk P, Langer A, Meij S et al. Non-invasive prediction of reperfusion and coronary artery patency by continuous ST segment monitoring in the GUSTO-I trial. Eur Heart J 1996; 17(5):689-98.
16. Johanson P, Rossberg J, Dellborg M. Continuous ST monitoring: a bedside instrument? A report from the Assessment of the Safety of a New Thrombolytic (ASSENT 2) ST monitoring substudy. Am Heart J 2001;142(1):58-62.
17. Jernberg T, Abrahamsson P, Lindahl B et al. Comparison of continuous vectorcardiography and continuous 12-lead electrocardiography of patients with unstable coronary artery disease: do they identify the same population? Coron Artery Dis 2001;12(3):187-95.
18. The ASSENT-2 Investigators. Single-bolus tenecteplase compared with front-loaded alteplase in acute myocardial infarction: the ASSENT-2 double-blind randomised trial. Assessment of the Safety and Efficacy of a New Thrombolytic Investigators. Lancet 1999;354(9180):716-22.
19. Wallentin L, Dellborg DM, Lindahl B et al. The lowmolecular-weight heparin dalteparin as adjuvant therapy in acute myocardial infarction: the ASSENT PLUS study. Clin Cardiol 2001;24(Suppl 3):112-114.
20. Dellborg M, Riha M, Swedberg K. Dynamic QRS and ST-segment changes in myocardial infarction monitored by continuous on-line vectorcardiography. J Electrocardiol 1990;23(Suppl):11-9.
21. Frank E. Accurate, clinically practical system for spatial vectorcardiography. Circulation 1956;13:737-44.
22. Hogg KJ, Hornung RS, Howie CA et al. Electrocardiographic prediction of coronary artery patency after thrombolytic treatment in acute myocardial infarction: use of the ST segment as a non-invasive marker. Br Heart J 1988; 60(4):275-80.
23. Bossaert L, Conraads V, Pintens H. ST-segment analysis: a useful marker for reperfusion after thrombolysis with APSAC? The Belgian EMS Study Group. Eur Heart J 1991;12(3):357-62.
24. Gibson CM, Murphy SA, Marble SJ et al. Can we replace the 90-min thrombolysis in myocardial infarction (TIMI) flow grades with those at 60 min as a primary end point in thrombolytic trials? TIMI Study Group. Am J Cardiol 2001; 87(4):450-3.
25. Thygesen K, Horder M, Nielsen BL et al. The variability of ST segment in the early phase of acute myocardial infarction. Acta Med Scand Suppl 1978;623:61-70.
26. Hackett D, Davies G, Chierchia S et al. Intermittent coronary occlusion in acute myocardial infarction. Value of combined thrombolytic and vasodilator therapy. N Engl J Med 1987;317(17):1055-9.
27. Kwon K, Freedman SB, Wilcox I et al. The unstable ST segment early after thrombolysis for acute infarction and its usefulness as a marker of recurrent coronary occlusion. Am J Cardiol 1991;67(2):109-15.
28. Langer A, Krucoff MW, Klootwijk P et al. Prognostic significance of ST segment shift early after resolution of ST elevation in patients with myocardial infarction treated with thrombolytic therapy: the GUSTO-I ST Segment Monitoring Substudy. J Am Coll Cardiol 1998;31(4):783-9.
29. Johanson P, Svensson AM, Dellborg M. Clinical implications of early ST-segment variability. A report from the ASSENT 2 ST-monitoring sub-study. Coron Artery Dis 2001;12(4):277-83.
30. Johanson P, Swedberg K, Dellborg M. ST variability during the first 4 hours of acute myocardial infarction predicts 1-year mortality. Ann Noninvasive Electrocardiol 2001;6(3):198-202.