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Rapid Communication| Volume 91, ISSUE 12, P1469-1471, June 15, 2003

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Association between initial QRS duration and no-reflow phenomenon in patients with acute left main coronary artery obstruction

DOI:https://doi.org/10.1016/S0002-9149(03)00401-6
Association between initial QRS duration and no-reflow phenomenon in patients with acute left main coronary artery obstruction
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      The 12-lead electrocardiogram (ECG) on admission is the established first step to define acute myocardial infarction (AMI), and it provides information to predict outcomes in patients with ST-segment elevation AMI.
      • Schroder R.
      • Dissmann R.
      • Bruggemann T.
      • Wegscheider K.
      • Linderer T.
      • Tebbe U.
      • Neuhaus K.-L.
      Extent of early ST segment elevation resolution a simple but strong predictor of outcome in patients with acute myocardial infarction.
      J Am Coll Cardiol. 1994; 24: 384-391
      ,
      • van’t Hof A.W.J.
      • Leim A.
      • de Boer M.-J.
      • Zijlstra F.
      Clinical value of 12-lead electrocardiogram after successful reperfused therapy for acute myocadial infarction.
      Lancet. 1997; 350: 615-619
      ,
      • Hathaway W.R.
      • Peterson E.D.
      • Wagner G.S.
      • Granger C.B.
      • Zabel K.M.
      • Pieper K.S.
      • Clark K.A.
      • Woodlief L.H.
      • Califf R.M.
      Prognostic significance of the initial electrocardiogram in patients with acute myocardial infarction.
      JAMA. 1998; 279: 387-391
      The ECG in the setting of left main coronary artery (LMCA) obstruction displays various patterns.
      • Iwasaki K.
      • Kusachi S.
      • Hina K.
      • Nishiyama O.
      • Kondo J.
      • Kita T.
      • Hata T.
      • Taniguchi G.
      • Tsuji T.
      Acute left main coronary artery obstruction with myocardial infarction—reperfused strategies, and the clinical and angiographic outcome.
      Jpn Circ J. 1993; 57: 891-897
      The present investigation evaluates the admission ECG as an initial marker to identify the probability of no-reflow phenomenon for acute LMCA obstruction.
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      References

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        • Dissmann R.
        • Bruggemann T.
        • Wegscheider K.
        • Linderer T.
        • Tebbe U.
        • Neuhaus K.-L.
        Extent of early ST segment elevation resolution.
        J Am Coll Cardiol. 1994; 24: 384-391
        View in Article
        • van’t Hof A.W.J.
        • Leim A.
        • de Boer M.-J.
        • Zijlstra F.
        Clinical value of 12-lead electrocardiogram after successful reperfused therapy for acute myocadial infarction.
        Lancet. 1997; 350: 615-619
        View in Article
        • Hathaway W.R.
        • Peterson E.D.
        • Wagner G.S.
        • Granger C.B.
        • Zabel K.M.
        • Pieper K.S.
        • Clark K.A.
        • Woodlief L.H.
        • Califf R.M.
        Prognostic significance of the initial electrocardiogram in patients with acute myocardial infarction.
        JAMA. 1998; 279: 387-391
        View in Article
        • Iwasaki K.
        • Kusachi S.
        • Hina K.
        • Nishiyama O.
        • Kondo J.
        • Kita T.
        • Hata T.
        • Taniguchi G.
        • Tsuji T.
        Acute left main coronary artery obstruction with myocardial infarction—reperfused strategies, and the clinical and angiographic outcome.
        Jpn Circ J. 1993; 57: 891-897
        View in Article
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      Article info

      Publication history

      Accepted: March 3, 2003
      Received in revised form: March 3, 2003
      Received: January 24, 2003

      Identification

      DOI: https://doi.org/10.1016/S0002-9149(03)00401-6

      Copyright

      © 2003 Excerpta Medica Inc. Published by Elsevier Inc. All rights reserved.

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