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


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

Pubmed Central 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