Role of the ECG in initial acute coronary syndrome triage: Primary PCI regardless presence of ST elevation or of non-ST elevation

Netherlands Heart Journal

Volumn 22, Issue 11, 2014, Pages 484-490

  Ijkema, B B L M ^a,b   Bonnier, J J R M ^b   Schoors, D ^b   Schalij, M J ^a   Swenne, C A ^a  

^a LEIDEN UNIVERSITY MEDICAL CENTER   (Netherlands)

^b UNIVERSITY HOSPITAL BRUSSELS   (Belgium)

Author keywords

Complete occlusion; Electrocardiogram; Incomplete Occlusion; Non ST Elevation; ST Elevation; Triage

Indexed keywords

COPEPTIN; TROPONIN I; TROPONIN T;

ACUTE CORONARY SYNDROME; COLLATERAL CIRCULATION; CORONARY ARTERY OCCLUSION; DIAGNOSTIC ACCURACY; ELECTROCARDIOGRAPHY; HEART INFARCTION; HEART MUSCLE ISCHEMIA; HUMAN; NON ST SEGMENT ELEVATION ACUTE CORONARY SYNDROME; PERCUTANEOUS CORONARY INTERVENTION; REVIEW; SENSITIVITY AND SPECIFICITY; ST SEGMENT ELEVATION; UNSTABLE ANGINA PECTORIS;

EID: 84920514495     PISSN: 15685888     EISSN: 18766250     Source Type: Journal    
DOI: 10.1007/s12471-014-0598-9     Document Type: Review

References (55)

1. De Belder MA. Interventional management of acute coronary syndromes: applying the lessons of ST-elevation services to non-STelevation myocardial infarction. Heart. 2012;98:1407–11.
2. Gorgels AP. ST-elevation and non-ST-elevation acute coronary syndromes: should the guidelines be changed? J Electrocardiol. 2013;46: 318–23.
3. Steg PG, James SK, Atar D, et al. ESC Guidelines for the management of acute myocardial infarction in patients presenting with STsegment elevation. Eur Heart J. 2012;33:2569–619.
4. Anderson JL, Adams CD, Antman EM, et al. 2012 ACCF/AHA focused update incorporated into the ACCF/AHA 2007 guidelines for the management of patients with unstable angina/non-ST-elevation myocardial infarction: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol. 2013;61:e179–347.
5. Hamm CW, Bassand JP, Agewall S, et al. ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation: the task force for the management of acute coronary syndromes (ACS) in patients presenting without persistent ST-segment elevation of the European Society of Cardiology (ESC). Eur Heart J. 2011;32:2999–3054.
6. Gruppo Italiano per lo Studio della Streptochinasi nell’Infarto Miocardico (GISSI). Effectiveness of intravenous thrombolytic treatment in acute myocardial infarction. Lancet. 1986;1(8478):397–402.
7. Gruppo Italiano per lo Studio della Streptochi-nasi nell’Infarto Miocardico (GISSI). Long-term effects of intravenous thrombolysis in acute myocardial infarction: final report of the GISSI study. Lancet. 1987;2(8564):871–74.
8. Rajpurohit N, Garg N, Garg R, et al. Early versus delayed percutaneous coronary intervention for patients with non-ST segment elevation acute coronary syndrome: a meta-analysis of randomized controlled clinical trials. Cath Cardiovasc Interv. 2013;81:223–31.
9. Hedstrom E, Engblom H, Frogner F, et al. Infarct evolution in man studied in patients with first-time coronary occlusion in comparison to different species - implications for assessment of myocardial salvage. J Cardiovasc Magn Reson. 2009;11:38.
10. Nesto RW, Kowalchuk GJ. The ischemic cascade: temporal sequence of hemodynamic, electrocardiographic and symptomatic expressions of ischemia. Am J Cardiol. 1987;59:23C–30C.
11. Birnbaum I, Birnbaum Y. High-risk ECG patterns in ACS-Need for guideline revision. J Electrocardiol. 2013;46:535–9.
12. Sarafoff N, Schuster T, Vochem R, et al. Association of ST-elevation and non-ST-elevation presentation on ECG with transmurality and size of myocardial infarction as assessed by contrast-enhanced magnetic resonance imaging. J Electrocardiol. 2013;46:100–6.
13. Wang K, Asinger RW, Marriott HJ. ST-segment elevation in conditions other than acute myocardial infarction. N Engl J Med. 2003;349:2128–35.
14. Huang HD, Birnbaum Y. ST elevation: differentiation between ST elevation myocardial infarction and nonischemic ST elevation. J Electrocardiol. 2011;44:494.
15. Backus BE, Six AJ, Kelder JH, et al. Risk scores for patients with chest pain: evaluation in the emergency department. Curr Cardiol Rev. 2011;7:2–8.
16. Kim E, Birnbaum Y. Acute coronary syndromes presenting with transient diffuse ST segment depression and st segment elevation in lead aVR not caused by ‘acute left main coronary artery occlusion’: description of two cases. Ann Noninvasive Electrocardiol. 2013;18: 204–9.
17. Ter Haar CC, Maan AC, Warren SG, et al. Difference vectors to describe dynamics of the ST segment and the ventricular gradient in acute ischemia. J Electrocardiol. 2013;46:302–11.
18. Ter Haar CC, Maan AC, Schalij MJ, et al. Improved electrocardiographic detection of hyperacute ischemia by difference vector analysis. Comput Cardiol. 2013;40:9–12.
19. Bhatheja R, Mukherjee D. Acute coronary syndromes: unstable angina/non-ST elevation myocardial infarction. Crit Care Clin. 2007;23:709–35.
20. Henderson RR, Hansing CE, Razavi M, et al. Resolution of an obstructive coronary lesion as demonstrated by selective angiography in a patient with transmural myocardial infarction. Am J Cardiol. 1973;31:785–8.
21. Kovacs IB, Yamamoto J. Spontaneous thrombolysis: a forgotten determinant of life or death. Clin Appl Thromb Hemost. 2006;12: 358–63.
22. Sanborn TA, Faxon DP, Kellett MA, et al. Serial angiographic evidence of rapid resolution of coronary artery stenosis. Chest. 1983;84:302–4.
23. Van der Laarse A, Cobbaert CM, Gorgels AP, et al. Will future troponin measurement overrule the ECG as the primary diagnostic tool in patients with acute coronary syndrome? J Electrocardiol. 2013;46:312–7.
24. Birnbaum Y, Zhou S, Wagner GS. Newconsiderations of STsegment ‘elevation’ and ‘depression’ and accompanying Twave configuration in acute coronary syndromes. J Electrocardiol. 2011;44:1–6.
25. Daga LC, Kaul U, Mansoor A. Approach to STEMI and NSTEMI. J Assoc Physicians India. 2011;59(Suppl):19–25.
26. Knot J, Kala P, Rokyta R, et al. Comparison of outcomes in STsegment depression and ST-segment elevation myocardial infarction patients treated with emergency PCI: data from a multicentre registry. Cardiovasc J Afr. 2012;23:495–500.
27. Cohn JN. The message is clear: prevent as well as treat acute myocardial infarction. Circ. 2013;128:2554–6.
28. Man S, Rahmattulla C, Maan AC, et al. Acute coronary syndrome with a totally occluded culprit artery: relation of the ST injury vector with ST-elevation and non-ST elevation ECGs. J Electrocardiol. 2014;47:183–90.
29. Wang TY, Zhang M, Fu Y, et al. Incidence, distribution, and prognostic impact of occluded culprit arteries among patients with non- ST-elevation acute coronary syndromes undergoing diagnostic angiography. Am Heart J. 2009;157:716–23.
30. Bahrmann P, Rach J, Desch S, et al. Incidence and distribution of occluded culprit arteries and impact of coronary collaterals on outcome in patients with non-ST-segment elevation myocardial infarction and early invasive treatment strategy. Clin Res Cardiol. 2011;100:457–67.
31. Koyama Y, Hansen PS, Hanratty CG, et al. Prevalence of coronary occlusion and outcome of an immediate invasive strategy in suspected acute myocardial infarction with and without ST-segment elevation. Am J Cardiol. 2002;90:579–84.
32. Sebbane M, Lefebvre S, Kuster N, et al. Early rule out of acute myocardial infarction in ED patients: value of combined highsensitivity cardiac troponin T and ultrasensitive copeptin assays at admission. Am J Emerg Med. 2013;31:1302–8.
33. Afzali D, Erren M, Pavenstadt HJ, et al. Impact of copeptin on diagnosis, risk stratification, and intermediate-term prognosis of acute coronary syndromes. Clin Res Cardiol. 2013;102:755–63.
34. Charpentier S, Lepage B, Maupas-Schwalm F, et al. Copeptin improves the diagnostic performance of sensitive troponin I-Ultra but cannot rapidly rule out non-ST-elevation myocardial infarction at presentation to an emergency department. Ann Emerg Med. 2013;61: 549–58.
35. Shah BN, Ahmadvazir S, Pabla JS, et al. The role of urgent transthoracic echocardiography in the evaluation of patients presenting with acute chest pain. Eur J Emerg Med. 2012;19: 277–83.
36. Peels CH, Visser CA, Kupper AJ, et al. Usefulness of two-dimensional echocardiography for immediate detection of myocardial ischemia in the emergency room. Am J Cardiol. 1990;65:687–91.
37. Berry D. The unlocking of the coronary arteries: origins of angioplasty. A short historical review of arterial dilatation from Dotter to the creative Gruentzig. Eur Heart J. 2009;30:1421–2.
38. Rentrop KP, Blanke H, Karsch KR, et al. Initial experience with transluminal recanalization of the recently occluded infarct-related coronary artery in acute myocardial infarction - comparison with conventionally treated patients. Clin Cardiol. 1979;2:92–105.
39. Rutsch W, Schartl M, Mathey D, et al. Percutaneous transluminal coronary recanalization: procedure, results, and acute complications. Am Heart J. 1981;102(6 Pt 2):1178–81.
40. Menon V, Ruzyllo W, Carvalho AC, et al. Infarct artery distribution and clinical outcomes in occluded artery trial subjects presenting with non-ST-segment elevation myocardial infarction (from the long-term follow-up of Occluded Artery Trial [OAT]). Am J Cardiol. 2013;111: 930–5.
41. Wong CK, White HD. Patients with circumflex occlusions miss out on reperfusion: how to recognize and manage them. Curr Opin Cardiol. 2012;27:327–30.
42. McMurtry MS, Lewin AM, Knudtson ML, et al. The clinical profile and outcomes associated with coronary collaterals in patients with coronary artery disease. Can J Cardiol. 2011;27: 581–8.
43. Koerselman J, de Jaegere PP, Verhaar MC, et al. Prognostic significance of coronary collaterals in patients with coronary heart disease having percutaneous transluminal coronary angioplasty. Am J Cardiol. 2005;96:390–4.
44. Balzi D, Di Bari M, Barchielli A, et al. Should we improve the management of NSTEMI? Results from the population-based ‘acute myocardial infarction in Florence 2’ (AMI-Florence 2) registry. Intern Emerg Med. 2013;8:725–33.
45. Zahn R, Schweppe F, Zeymer U, et al. Reperfusion therapy for acute ST-elevation and non ST-elevation myocardial infarction: what can be achieved in daily clinical practice in unselected patients at an interventional center? Acute Card Care. 2009;11:92–8.
46. Jneid H. The 2012 ACCF/AHA Focused Update of the Unstable Angina/Non-ST-Elevation Myocardial Infarction (UA/NSTEMI) Guideline: a critical appraisal. Methodist Debakey Cardiovasc J. 2012;8:26–30.
47. Montalescot G, Cayla G, Collet JP, et al. Immediate vs delayed intervention for acute coronary syndromes: a randomized clinical trial. JAMA. 2009;302:947–54.
48. Katritsis DG, Siontis GC, Kastrati A, et al. Optimal timing of coronary angiography and potential intervention in non-ST-elevation acute coronary syndromes. Eur Heart J. 2011;32:32–40.
49. Birnbaum Y, Wilson JM, Fiol M, et al. ECG diagnosis and classification of acute coronary syndromes. Ann Noninvasive Electrocardiol. 2014;19:4–14.
50. Goel K, Pinto DS, Gibson CM. Association of time to reperfusion with left ventricular function and heart failure in patients with acute myocardial infarction treated with primary percutaneous coronary intervention: a systematic review. Am Heart J. 2013;165:451–67.
51. White HD, Norris RM, Brown MA, et al. Left ventricular endsystolic volume as the major determinant of survival after recovery from myocardial infarction. Circ. 1987;76:44–51.
52. Soekhlal RR, Burgers LT, Redekop WK, et al. Treatment costs of acute myocardial infarction in the Netherlands. Neth Heart J. 2013;21:230–5.
53. Velders MA, van Boven AJ, Brouwer J, et al. Everolimus- and sirolimus-eluting stents in patients with and without ST-segment elevation myocardial infarction. Neth Heart J. 2014;22:167–73.
54. Meissner A, Trappe HJ, de Boer MJ, et al. The value of the ECG for decision-making at first medical contact in the patient with acute chest pain. Neth Heart J. 2010;18:301–6.
55. Ter Haar CC, Maan AC, Schalij MJ, et al. Directionality and proportionality of the ST and ventricular gradient difference vectors during acute ischemia. J Electrocardiol. 2014. doi:10.1016/j.jelectrocard. 2014;47:500-4.