Common pitfalls in the interpretation of electrocardiograms from patients with acute coronary syndromes with narrow QRS: a consensus report

Yochai Birnbaum; Antonio Bayes de Luna; Miquel Fiol; Kjell Nikus; Peter Macfarlane; Anton Gorgels; Alessandro Sionis; Juan Cinca; Jose A. Barrabes; Olle Pahlm; Samuel Sclarovsky; Hein Wellens; Leonard Gettes

doi:10.1016/j.jelectrocard.2012.06.011

Common pitfalls in the interpretation of electrocardiograms from patients with acute coronary syndromes with narrow QRS: a consensus report

Yochai Birnbaum^*, Antonio Bayes de Luna, Miquel Fiol, Kjell Nikus, Peter Macfarlane, Anton Gorgels, Alessandro Sionis, Juan Cinca, Jose A. Barrabes, Olle Pahlm, Samuel Sclarovsky, Hein Wellens, Leonard Gettes

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Acute coronary syndromes (ACS) with narrow QRS are divided into 2 groups: ST-elevation ACS that requires emergency percutaneous coronary intervention, and non-ST elevation ACS. The classification of ACS into these 2 groups is not always straightforward. In this document, we discuss several electrocardiogram patterns of acute ischemia that are often misinterpreted. We suggest that any new recommendations or guidelines from the Scientific Societies should acknowledge these aspects of electrocardiogram interpretation by including appropriate diagnostic criteria that should prove helpful for the optimal management of patients with ACS.

Original language	English
Pages (from-to)	463-475
Journal	Journal of Electrocardiology
Volume	45
Issue number	5
DOIs	https://doi.org/10.1016/j.jelectrocard.2012.06.011
Publication status	Published - 2012

Keywords

Electrocardiogram
Acute coronary syndromes
ST elevation
ST depression
T wave

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10.1016/j.jelectrocard.2012.06.011

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Birnbaum, Y., Bayes de Luna, A., Fiol, M., Nikus, K., Macfarlane, P., Gorgels, A., Sionis, A., Cinca, J., Barrabes, J. A., Pahlm, O., Sclarovsky, S., Wellens, H., & Gettes, L. (2012). Common pitfalls in the interpretation of electrocardiograms from patients with acute coronary syndromes with narrow QRS: a consensus report. Journal of Electrocardiology, 45(5), 463-475. https://doi.org/10.1016/j.jelectrocard.2012.06.011

@article{20c00e6b05ee4001a7b346437f9b7a63,

title = "Common pitfalls in the interpretation of electrocardiograms from patients with acute coronary syndromes with narrow QRS: a consensus report",

abstract = "Acute coronary syndromes (ACS) with narrow QRS are divided into 2 groups: ST-elevation ACS that requires emergency percutaneous coronary intervention, and non-ST elevation ACS. The classification of ACS into these 2 groups is not always straightforward. In this document, we discuss several electrocardiogram patterns of acute ischemia that are often misinterpreted. We suggest that any new recommendations or guidelines from the Scientific Societies should acknowledge these aspects of electrocardiogram interpretation by including appropriate diagnostic criteria that should prove helpful for the optimal management of patients with ACS. ",

keywords = "Electrocardiogram, Acute coronary syndromes, ST elevation, ST depression, T wave",

author = "Yochai Birnbaum and {Bayes de Luna}, Antonio and Miquel Fiol and Kjell Nikus and Peter Macfarlane and Anton Gorgels and Alessandro Sionis and Juan Cinca and Barrabes, {Jose A.} and Olle Pahlm and Samuel Sclarovsky and Hein Wellens and Leonard Gettes",

year = "2012",

doi = "10.1016/j.jelectrocard.2012.06.011",

language = "English",

volume = "45",

pages = "463--475",

journal = "Journal of Electrocardiology",

issn = "0022-0736",

publisher = "Elsevier B.V.",

number = "5",

}

Birnbaum, Y, Bayes de Luna, A, Fiol, M, Nikus, K, Macfarlane, P, Gorgels, A, Sionis, A, Cinca, J, Barrabes, JA, Pahlm, O, Sclarovsky, S, Wellens, H & Gettes, L 2012, 'Common pitfalls in the interpretation of electrocardiograms from patients with acute coronary syndromes with narrow QRS: a consensus report', Journal of Electrocardiology, vol. 45, no. 5, pp. 463-475. https://doi.org/10.1016/j.jelectrocard.2012.06.011

TY - JOUR

T1 - Common pitfalls in the interpretation of electrocardiograms from patients with acute coronary syndromes with narrow QRS: a consensus report

AU - Birnbaum, Yochai

AU - Bayes de Luna, Antonio

AU - Fiol, Miquel

AU - Nikus, Kjell

AU - Macfarlane, Peter

AU - Gorgels, Anton

AU - Sionis, Alessandro

AU - Cinca, Juan

AU - Barrabes, Jose A.

AU - Pahlm, Olle

AU - Sclarovsky, Samuel

AU - Wellens, Hein

AU - Gettes, Leonard

PY - 2012

Y1 - 2012

N2 - Acute coronary syndromes (ACS) with narrow QRS are divided into 2 groups: ST-elevation ACS that requires emergency percutaneous coronary intervention, and non-ST elevation ACS. The classification of ACS into these 2 groups is not always straightforward. In this document, we discuss several electrocardiogram patterns of acute ischemia that are often misinterpreted. We suggest that any new recommendations or guidelines from the Scientific Societies should acknowledge these aspects of electrocardiogram interpretation by including appropriate diagnostic criteria that should prove helpful for the optimal management of patients with ACS.

AB - Acute coronary syndromes (ACS) with narrow QRS are divided into 2 groups: ST-elevation ACS that requires emergency percutaneous coronary intervention, and non-ST elevation ACS. The classification of ACS into these 2 groups is not always straightforward. In this document, we discuss several electrocardiogram patterns of acute ischemia that are often misinterpreted. We suggest that any new recommendations or guidelines from the Scientific Societies should acknowledge these aspects of electrocardiogram interpretation by including appropriate diagnostic criteria that should prove helpful for the optimal management of patients with ACS.

KW - Electrocardiogram

KW - Acute coronary syndromes

KW - ST elevation

KW - ST depression

KW - T wave

U2 - 10.1016/j.jelectrocard.2012.06.011

DO - 10.1016/j.jelectrocard.2012.06.011

M3 - Article

C2 - 22920785

SN - 0022-0736

VL - 45

SP - 463

EP - 475

JO - Journal of Electrocardiology

JF - Journal of Electrocardiology

IS - 5

ER -

Common pitfalls in the interpretation of electrocardiograms from patients with acute coronary syndromes with narrow QRS: a consensus report

Abstract

Keywords

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