Consideration of pitfalls in and omissions from the current ECG standards for diagnosis of myocardial ischemia/infarction in patients who have acute coronary syndromes.


Journal Article (Review)

The ECG is the key clinical test available for the emergency determination of which patients who presenting with acute coronary syndromes indeed have acute myocardial ischemia/infarction. Because typically the etiology is thrombosis, the correct clinical decision regarding reperfusion therapy is crucial. This review follows the efforts of an AHA working group to develop new standards for clinical application of electrocardiology. The pitfalls in the current diagnostic standards regarding ischemia/infarction that have been identified by sufficiently documented studies are corrected in their report. This article focuses on the pitfalls for which new standards will emerge in future years.

Full Text

Cited Authors

  • Wagner, G; Lim, T; Gettes, L; Gorgels, A; Josephson, M; Wellens, H; Anderson, S; Childers, R; Clemmensen, P; Kligfield, P; Macfarlane, P; Pahlm, O; Selvester, R

Published Date

  • August 2006

Published In

Volume / Issue

  • 24 / 3

Start / End Page

  • 331 - vii

PubMed ID

  • 16939827

Pubmed Central ID

  • 16939827

Electronic International Standard Serial Number (EISSN)

  • 1558-2264

International Standard Serial Number (ISSN)

  • 0733-8651

Digital Object Identifier (DOI)

  • 10.1016/j.ccl.2006.04.012


  • eng