Evolution of an automated ST-segment analysis program for dynamic real-time, noninvasive detection of coronary occlusion and reperfusion.

Journal Article (Journal Article)

Patients in whom early and stable reperfusion through the infarct artery fails after thrombolytic treatment might benefit from further revascularization therapy. A reliable noninvasive technique able to detect both reperfusion and reocclusion would be useful to test this hypothesis. However, no such technique presently exists. ST-segment recovery analysis using continuous digital 12-lead ST monitoring has been shown to be an accurate predictor of infarct artery patency in real time. This method was dependent on a trained clinician's analysis of the recordings on a personal computer. For optimal bedside application, salient principles of this ST-segment recovery analysis were converted into algorithms and built into the ST monitor software. The essentials of these algorithms are described in this report.

Full Text

Duke Authors

Cited Authors

  • Veldkamp, RF; Bengtson, JR; Sawchak, ST; Pope, JE; Mertens, JR; Mortara, DW; Califf, RM; Krucoff, MW

Published Date

  • 1992

Published In

Volume / Issue

  • 25 Suppl /

Start / End Page

  • 182 - 187

PubMed ID

  • 1297691

International Standard Serial Number (ISSN)

  • 0022-0736

Digital Object Identifier (DOI)

  • 10.1016/0022-0736(92)90098-k


  • eng

Conference Location

  • United States