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Medicinski pregled
2018, vol. 71, br. 7-8, str. 241-246
jezik rada: engleski
vrsta rada: pregledni članak
doi:10.2298/MPNS1808241D
Atipični elektrokardiografski prikazi infarkta miokarda sa ST elevacijom - ekvivalenti infarkta miokarda sa elevacijom ST segmenta
aInstitute of Cardiovascular Diseases of Vojvodina, Sremska Kamenica + University of Novi Sad, Faculty of Medicine
bUniverzitet u Novom Sadu, Medicinski fakultet, Institut za kardiovaskularne bolesti

e-adresa: dejanovic.jadranka@ikvbv.ns.ac.rs

Sažetak

Uvod. Postoji grupa bolesnika koja ima kliničke simptome i znake akutnog infarkta uz prisutnu okluziju koronarne arterije, ali uz nespecifične elektrokardiografske promene ‒ tzv. STEMI ekvivalenti. Imperativ je brzo ih prepoznati i uraditi reperfuzionu terapiju prateći preporuke važećih vodiča. De Vinterov sindrom. Dijagnostički kriterijumi su: visoki, simetrični T-talasi u prekordijalnim odvodima, ushodna ST depresija > 1 mm u J-tački u prekordijalnim odvodima, odsustvo ST elevacije u prekordijalnim odvodima, ST elevacija (0,5 mm ‒ 1 mm) u aVR odvodu. Sindrom ST elevacije u aVR odvodu. Elektrokardiografski kriterijumi su: ST elevacija u aVR ≥ 1 mm, ST elevacija aVR ≥ V1, difuzna ST depresija u lateralnim odvodima. Velensov sindrom. Velensov sindrom opisuje duboke negativne ili bifazne T-talase u odvodima V2-V3, a može biti visokospecifičan za kritičnu stenozu prednje nishodne koronarne arterije. Infarkt miokarda zadnjeg zida. Infarkt miokarda zadnjeg zida je potvrđen u prisustvu ST depresije ≥ 0, 5 mm u odvodima V1-3 i elevacijom ST segmenta ≥ 0,5 mm u zadnjim odvodima (V7-V9). Zaključak. Postoji veliki broj nespecifičnih elektrokardiograma koje bi lekari trebalo brzo da prepoznaju kao kliničke ekvivalente akutnog infarkta miokarda sa elevacijom ST segmenta kako bi se dala urgentna reperfuziona terapija i poboljšala prognoza i preživljenje bolesnika.

Ključne reči

Reference

Brady, W.J. (1998) Acute posterior wall myocardial infarction: Electrocardiographic manifestations. American Journal of Emergency Medicine, 16(4): 409-413
Cervellin, G., Rastelli, G. (2016) The clinics of acute coronary syndrome. Annals of Translational Medicine, 4(10): 191-191
Chung, S., Lei, M., Chen, C., Hsu, Y., Yang, C. (2013) Characteristics and prognosis in patients with false-positive ST-elevation myocardial infarction in the ED. American Journal of Emergency Medicine, 31(5): 825-829
de Winter, R.J., Verouden, N.J.W., Wellens, H.J.J., Wilde, A.A.M. (2008) A New ECG Sign of Proximal LAD Occlusion. New England Journal of Medicine, 359(19): 2071-2073
de Zwaan, C., Bär, F.W., Wellens, H.J. (1982) Characteristic electrocardiographic pattern indicating a critical stenosis high in left anterior descending coronary artery in patients admitted because of impending myocardial infarction. American Heart Journal, 103(4): 730-736
Esc, S.G. (2018) The task force for the management of acute myocardial infarction in patients presenting with st-segment elevation of the european society of cardiology (esc) 2017 esc guidelines for themanagement of acutemyocardial infarction in patients presenting w. Russian Journal of Cardiology, (5): 103-158
Goktas, M.U., Sogut, O., Yigit, M., Kaplan, O. (2017) A Novel Electrocardiographic Sign of an ST-Segment Elevation Myocardial Infarction-Equivalent: De Winter Syndrome. Cardiology Research, 8(4): 165-168
Hayden, G.E., Brady, W.J., Perron, A.D., Somers, M.P., Mattu, A. (2002) Electrocardiographic T-wave inversion: Differential diagnosis in the chest pain patient. American Journal of Emergency Medicine, 20(3): 252-262
Hennings, J.R., Fesmire, F.M. (2012) A new electrocardiographic criteria for emergent reperfusion therapy. American Journal of Emergency Medicine, 30(6): 994-1000
Hirano, T., Tsuchiya, K., Nishigaki, K., Sou, K., Kubota, T., Ojio, S., Kawasaki, M., Minatoguchi, S., Fujiwara, H., Ueno, K., Hosokawa, H., Morita, N., Nagano, T., Suzuki, T. (2006) Clinical Features of Emergency Electrocardiography in Patients With Acute Myocardial Infarction Caused by Left Main Trunk Obstruction. Circulation Journal, 70(5): 525-529
Hsu, Y.C., Hsu, C.W., Chen, T.C. (2017) Type B Wellens' syndrome: Electrocardiogram patterns that clinicians should be aware of. Ci Ji Yi Xue Za Zhi, 29(2); 127-128
Ivanov, I., Lovrenski, A., Dejanović, J., Petrović, M., Jung, R., Raffay, V. (2014) Double heart rupture after acute myocardial infarction: A case report. Vojnosanitetski pregled, vol. 71, br. 12, str. 1151-1154
Ivanov, I., Jaraković, M., Dejanović, J., Petrović, M., Srdanović, I., Obradović, D. (2014) Diagnostic and prognostic utility of aVR lead in electrocardiogram. Medicinski časopis, vol. 48, br. 2, str. 104-107
Ivanov, I., Dejanović, J., Čurić, I., Ivanov, M., Čikoš, J., Radišić, B., Šaponja-Živkov, D., Tomić, N. (2003) Infarkt miokarda desne komore. Medicina danas, vol. 2, br. 3-4, str. 239-249
Ivanov, I., Bugarski, S., Dejanović, J., Stojšić-Milosavljević, A., Radišić-Bosić, J., Vujin, B. (2013) Electrocardiographic signs of acute myocardial infarction in left bundle branch block. Medicinski pregled, vol. 66, br. 11-12, str. 503-506
Ivanov, I., Dejanović, J., Ivanov, O., Petrović, M., Jung, R., Panić, G. (2013) Miopericarditis: Diagnostic dilemmas in relation to acute myocardial infarction. Medicinski pregled, vol. 66, br. 9-10, str. 396-400
Knotts, R.J., Wilson, J.M., Kim, E., Huang, H.D., Birnbaum, Y. (2013) Diffuse ST depression with ST elevation in aVR: Is this pattern specific for global ischemia due to left main coronary artery disease?. Journal of Electrocardiology, 46(3): 240-248
Kosuge, M., Ebina, T., Hibi, K., Morita, S., Endo, M., Maejima, N., Iwahashi, N., Okada, K., Ishikawa, T., Umemura, S., Kimura, K. (2011) An Early and Simple Predictor of Severe Left Main and/or Three-Vessel Disease in Patients With Non-ST-Segment Elevation Acute Coronary Syndrome. American Journal of Cardiology, 107(4): 495-500
Kurisu, S. (2004) Electrocardiographic features in patients with acute myocardial infarction associated with left main coronary artery occlusion. Heart, 90(9): 1059-1060
Lin, A.N., Lin, S., Gokhroo, R., Misra, D. (2017) Cocaine-induced pseudo-Wellens’ syndrome: a Wellens’ phenocopy. BMJ Case Reports, str. bcr-2017-222835
Maloy, K., Bhat, R., Davis, J., Reed, K., Morrissey, M. (2010) Sgarbossa criteria are highly specific for acute myocardial infarction with pacemakers. West J Emerg Med., 11(4); 354-7
Matetzky, S., Freimark, D., Chouraqui, P., Rabinowitz, B., Rath, S., Kaplinsky, E., Hod, H. (1998) Significance of ST Segment Elevations in Posterior Chest Leads (V7to V9) in Patients With Acute Inferior Myocardial Infarction: Application for Thrombolytic Therapy. Journal of the American College of Cardiology, 31(3): 506-511
Morris, N.P., Body, R. (2017) The De Winter ECG pattern. European Journal of Emergency Medicine, 24(4): 236-242
Neeland, I.J., Kontos, M.C., de Lemos, J.A. (2012) Evolving Considerations in the Management of Patients With Left Bundle Branch Block and Suspected Myocardial Infarction. Journal of the American College of Cardiology, 60(2): 96-105
Oraii, S., Maleki, M., Tavakolian, A.A., Eftekharzadeh, M., Kamangar, F., Mirhaji, P. (1999) Prevalence and outcome of ST-segment elevation in posterior electrocardiographic leads during acute myocardial infarction. Journal of Electrocardiology, 32(3): 275-278
Ostojić, M., Beleslin, B., Kanjuh, V. (2012) Kardilogija. Beograd: Zavod za udžbenike i nastavna sredstva
Pranata, R., Huang, I., Damay, V. (2018) Should de Winter T-Wave Electrocardiography Pattern Be Treated as ST-Segment Elevation Myocardial Infarction Equivalent with Consequent Reperfusion? A Dilemmatic Experience in Rural Area of Indonesia. Case Reports in Cardiology, 2018: 1-4
Rhinehardt, J., Brady, W.J., Perron, A.D., Mattu, A. (2002) Electrocardiographic manifestations of Wellens' syndrome. American Journal of Emergency Medicine, 20(7): 638-643
Roffi, M., Patrono, C., Collet, J., Mueller, C., Valgimigli, M., Andreotti, F., Bax, J.J., Borger, M.A., Brotons, C., Chew, D.P., Gencer, B., Hasenfuss, G., Kjeldsen, K., Lancellotti, P. (2015) 2015 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation. European Heart Journal, 37(3): 267-315
Rosales-Castillo, A., Plaza-Carrera, J. (2017) Síndrome de Wellens. Revista Clínica Española, 217(8): 491
Saeed, G. (2010) Survival after Acute and Total Occlusion of the Left Main Coronary Artery. Asian Cardiovascular and Thoracic Annals, 18(6): 599-599
Sgarbossa, E.B., Pinski, S.L., Barbagelata, A., Underwood, D.A., Gates, K.B., Topol, E.J., Califf, R.M., Wagner, G.S. (1996) Electrocardiographic diagnosis of evolving acute myocardial infarction in the presence of left bundle-branch block: GUSTO-1 (Global Utilization of Streptokinase and Tissue Plasminogen Activator for Occluded Coronary Arteries) Investigators. N Engl J Med, 334(8): 481-7
Sheng, F., He, M., Zhang, M., Shen, G. (2015) Wellens syndrome caused by spasm of the proximal left anterior descending coronary artery. Journal of Electrocardiology, 48(3): 423-425
Smith, S.W., Dodd, K.W., Henry, T.D., Dvorak, D.M., Pearce, L.A. (2012) Diagnosis of ST-Elevation Myocardial Infarction in the Presence of Left Bundle Branch Block With the ST-Elevation to S-Wave Ratio in a Modified Sgarbossa Rule. Annals of Emergency Medicine, 60(6): 766-776
Thygesen, K., Alpert, J.S., Jaffe, A.S., Simoons, M.L., Chaitman, B.R., White, H.D. (2012) Third Universal Definition of Myocardial Infarction. Global Heart, 7(4): 275-295
van Gorselen, E.O., Verheugt, F.W., Meursing, B.T., Ophuis, O.A.J. (2007) Posterior myocardial infarction: the dark side of the moon. Neth Heart J., 15(1); 16-21
Verouden, N.J., Koch, K.T., Peters, R.J., Henriques, J.P., Baan, J., van der Schaaf, R.J., Vis, M.M., Tijssen, J.G., Piek, J.J., Wellens, H.J., Wilde, A.A., de Winter, R.J. (2009) Persistent precordial 'hyperacute' T-waves signify proximal left anterior descending artery occlusion. Heart, 95(20): 1701-1706
Wagner, G.S., Macfarlane, P., Wellens, H., Josephson, M., Gorgels, A., Mirvis, D.M., Pahlm, O., Surawicz, B., Kligfield, P., Childers, R., Gettes, L.S. (2009) AHA/ACCF/HRS Recommendations for the Standardization and Interpretation of the Electrocardiogram. Circulation, 119(10):
Wung, S., Drew, B.J. (2001) New electrocardiographic criteria for posterior wall acute myocardial ischemia validated by a percutaneous transluminal coronary angioplasty model of acute myocardial infarction. American Journal of Cardiology, 87(8): 970-974