Journal of Electrocardiology
Volume 42, Issue 2 , Pages 152-156 , March 2009

ST-segment resolution assessed immediately after primary percutaneous coronary intervention correlates with infarct size and left ventricular function in cardiac magnetic resonance at 1-year follow-up

  • Tomasz Rakowski, MD, PhD

      Affiliations

    • Second Department of Cardiology, Jagiellonian University Medical College, Krakow, Poland
    • ,
  • Artur Dziewierz, MD, PhD

      Affiliations

    • Second Department of Cardiology, Jagiellonian University Medical College, Krakow, Poland
    • ,
  • Zbigniew Siudak, MD

      Affiliations

    • Second Department of Cardiology, Jagiellonian University Medical College, Krakow, Poland
    • ,
  • Waldemar Mielecki, MD

      Affiliations

    • Second Department of Cardiology, Jagiellonian University Medical College, Krakow, Poland
    • ,
  • Agata Brzozowska-Czarnek, MD

      Affiliations

    • Department of Radiology, Jagiellonian University Medical College, Krakow, Poland
    • ,
  • Jacek Legutko, MD, PhD

      Affiliations

    • Second Department of Cardiology, Jagiellonian University Medical College, Krakow, Poland
    • ,
  • Lukasz Rzeszutko, MD, PhD

      Affiliations

    • Department of Interventional Cardiology, Jagiellonian University Medical College, Krakow, Poland
    • ,
  • Andrzej Urbanik, MD, PhD

      Affiliations

    • Department of Radiology, Jagiellonian University Medical College, Krakow, Poland
    • ,
  • Jacek S. Dubiel, MD, PhD

      Affiliations

    • Second Department of Cardiology, Jagiellonian University Medical College, Krakow, Poland
    • ,
  • Dariusz Dudek, MD, PhD

      Affiliations

    • Department of Interventional Cardiology, Jagiellonian University Medical College, Krakow, Poland
    • Corresponding Author InformationCorresponding author. Tel.: +48 12 424 71 81; fax: +48 12 424 71 84.

Received 5 October 2008

References 

  1. Van de Werf F, Ardissino D, Betriu A, et al. Management of acute myocardial infarction in patients presenting with ST-segment elevation. The Task Force on the Management of Acute Myocardial Infarction of the European Society of Cardiology. Eur Heart J. 2003;24:28
  2. Antman EM, Hand M, Armstrong PW, et al. 2007 Focused Update of the ACC/AHA 2004 Guidelines for the Management of Patients With ST-Elevation Myocardial Infarction: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines: developed in collaboration with the Canadian Cardiovascular Society endorsed by the American Academy of Family Physicians: 2007 Writing Group to review new evidence and update the ACC/AHA 2004 guidelines for the management of patients with ST-elevation myocardial infarction, writing on behalf of the 2004 writing committee. Circulation. 2008;117:296
  3. Schröder R. Prognostic impact of early ST-segment resolution in acute ST-elevation myocardial infarction. Circulation. 2004;110:e506
  4. Schröder R, Wegscheider K, Schröder K, et al. Extent of early ST segment elevation resolution: a strong predictor of outcome in patients with acute myocardial infarction and a sensitive measure to compare thrombolytic regimens. A substudy of the International Joint Efficacy Comparison of Thrombolytics (INJECT) trial. J Am Coll Cardiol. 1995;26:1657
  5. Schröder K, Wegscheider K, Zeymer U, et al. Extent of ST-segment deviation in a single electrocardiogram lead 90 min after thrombolysis as a predictor of medium-term mortality in acute myocardial infarction. Lancet. 2001;358:1479
  6. DuBois D, DuBois EF. A formula to estimate the approximate surface area if height and weight be known. Arch Intern Med. 1916;17:863
  7. Purcell IF, Newall N, Farrer M. Change in ST segment elevation 60 minutes after thrombolytic initiation predicts clinical outcome as accurately as later electrocardiographic changes. Heart. 1997;78:465
  8. de Lemos JA, Antman EM, Giugliano RP, et al. Comparison of a 60- versus 90-minute determination of ST-segment resolution after thrombolytic therapy for acute myocardial infarction. In TIME-II Investigators. Intravenous nPA for Treatment of Infarcting Myocardium Early-II. Am J Cardiol. 2000;86:1235
  9. Schröder K, Wegscheider K, Zeymer U, et al. Extent of ST-segment deviation in the single ECG lead of maximum deviation present 90 or 180 minutes after start of thrombolytic therapy best predicts outcome in acute myocardial infarction. Z Kardiol. 2001;90:557
  10. Schröder R, Zeymer U, Wegscheider K, et al. Comparison of the predictive value of ST segment elevation resolution at 90 and 180 min after start of streptokinase in acute myocardial infarction: a substudy of the hirudin for improvement of thrombolysis (HIT)-4 study. Eur Heart J. 1999;20:1563
  11. Cura FA, Roffi M, Pasca N, et al. Global use of strategies to open occluded arteries V investigators. ST-segment resolution 60 minutes after combination treatment of abciximab with reteplase or reteplase alone for acute myocardial infarction (30-day mortality results from the resolution of ST-segment after reperfusion therapy substudy). Am J Cardiol. 2004;94:859
  12. Brodie BR, Stuckey TD, Hansen C, et al. Relation between electrocardiographic ST-segment resolution and early and late outcomes after primary percutaneous coronary intervention for acute myocardial infarction. Am J Cardiol. 2005;95:343
  13. McLaughlin MG, Stone GW, Aymong E, et al. Prognostic utility of comparative methods for assessment of ST-segment resolution after primary angioplasty for acute myocardial infarction: the Controlled Abciximab and Device Investigation to Lower Late Angioplasty Complications (CADILLAC) trial. J Am Coll Cardiol. 2004;44:1215
  14. Buller CE, Fu Y, Mahaffey KW, et al. ST-segment recovery and outcome after primary percutaneous coronary intervention for ST-elevation myocardial infarction: insights from the Assessment of Pexelizumab in Acute Myocardial Infarction (APEX-AMI) trial. Circulation. 2008;118:1335
  15. De Luca G, Suryapranata H, Ottervanger JP, et al. Postprocedural single-lead ST-segment deviation and long-term mortality in patients with ST-segment elevation myocardial infarction treated by primary angioplasty. Heart. 2008;94:44

PII: S0022-0736(08)00490-1

doi: 10.1016/j.jelectrocard.2008.12.002

Journal of Electrocardiology
Volume 42, Issue 2 , Pages 152-156 , March 2009

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