Use of precordial ST-segment mapping

John E. Madias

doi:10.1016/0002-8703(78)90402-7

Use of precordial ST-segment mapping

John E. Madias

Research output: Contribution to journal › Review article › peer-review

7 Scopus citations

Abstract

Serial precordial ST-segment ECG mapping with a grid consisting of 49 recording marks made on the anterior thorax of patients with acute anterior transmural myocardial infarction has been applied in the study of usefulness of this technique. It has been found that a pattern of variable devolution of the magnitude of ST-segment elevations is seen in uncomplicated myocardial infarction. Extension of the infarct has been characterized by re-elevation of ST-segments. Beneficial therapeutic interventions have resulted in reduction of the magnitude of ST-segment elevation. However, the technique cannot be applied in patients with inferior transmural myocardial infarction or in patients with functioning pacemakers, bundle branch blocks, or pericarditis. The significance of adherence to strict guidelines in performing ST-segment mapping and the analysis of mapping data in the light of the total clinical picture at the time of recordings is emphasized.

Original language	English
Pages (from-to)	96-101
Number of pages	6
Journal	American Heart Journal
Volume	95
Issue number	1
DOIs	https://doi.org/10.1016/0002-8703(78)90402-7
State	Published - Jan 1978
Externally published	Yes

Access to Document

10.1016/0002-8703(78)90402-7

Cite this

@article{aa84afe93ab64e22b2cb9469374cbb07,

title = "Use of precordial ST-segment mapping",

abstract = "Serial precordial ST-segment ECG mapping with a grid consisting of 49 recording marks made on the anterior thorax of patients with acute anterior transmural myocardial infarction has been applied in the study of usefulness of this technique. It has been found that a pattern of variable devolution of the magnitude of ST-segment elevations is seen in uncomplicated myocardial infarction. Extension of the infarct has been characterized by re-elevation of ST-segments. Beneficial therapeutic interventions have resulted in reduction of the magnitude of ST-segment elevation. However, the technique cannot be applied in patients with inferior transmural myocardial infarction or in patients with functioning pacemakers, bundle branch blocks, or pericarditis. The significance of adherence to strict guidelines in performing ST-segment mapping and the analysis of mapping data in the light of the total clinical picture at the time of recordings is emphasized.",

author = "Madias, {John E.}",

note = "Funding Information: From the Cardiology Division Thomdike Memorial Laboratory, University School of Medicine, Supported by United States Public Health Service RR-533, HE-07299, Contract 71-2498, and American Grant 74-1031. Received for publication Jan. 27, 1976. Reprint requests: John E. Mad&, M.D., Cardiology City Hospital, Boston, Mass. 02118.",

year = "1978",

month = jan,

doi = "10.1016/0002-8703(78)90402-7",

language = "English",

volume = "95",

pages = "96--101",

journal = "American Heart Journal",

issn = "0002-8703",

publisher = "Elsevier Inc.",

number = "1",

}

TY - JOUR

T1 - Use of precordial ST-segment mapping

AU - Madias, John E.

N1 - Funding Information: From the Cardiology Division Thomdike Memorial Laboratory, University School of Medicine, Supported by United States Public Health Service RR-533, HE-07299, Contract 71-2498, and American Grant 74-1031. Received for publication Jan. 27, 1976. Reprint requests: John E. Mad&, M.D., Cardiology City Hospital, Boston, Mass. 02118.

PY - 1978/1

Y1 - 1978/1

N2 - Serial precordial ST-segment ECG mapping with a grid consisting of 49 recording marks made on the anterior thorax of patients with acute anterior transmural myocardial infarction has been applied in the study of usefulness of this technique. It has been found that a pattern of variable devolution of the magnitude of ST-segment elevations is seen in uncomplicated myocardial infarction. Extension of the infarct has been characterized by re-elevation of ST-segments. Beneficial therapeutic interventions have resulted in reduction of the magnitude of ST-segment elevation. However, the technique cannot be applied in patients with inferior transmural myocardial infarction or in patients with functioning pacemakers, bundle branch blocks, or pericarditis. The significance of adherence to strict guidelines in performing ST-segment mapping and the analysis of mapping data in the light of the total clinical picture at the time of recordings is emphasized.

AB - Serial precordial ST-segment ECG mapping with a grid consisting of 49 recording marks made on the anterior thorax of patients with acute anterior transmural myocardial infarction has been applied in the study of usefulness of this technique. It has been found that a pattern of variable devolution of the magnitude of ST-segment elevations is seen in uncomplicated myocardial infarction. Extension of the infarct has been characterized by re-elevation of ST-segments. Beneficial therapeutic interventions have resulted in reduction of the magnitude of ST-segment elevation. However, the technique cannot be applied in patients with inferior transmural myocardial infarction or in patients with functioning pacemakers, bundle branch blocks, or pericarditis. The significance of adherence to strict guidelines in performing ST-segment mapping and the analysis of mapping data in the light of the total clinical picture at the time of recordings is emphasized.

UR - http://www.scopus.com/inward/record.url?scp=0017908380&partnerID=8YFLogxK

U2 - 10.1016/0002-8703(78)90402-7

DO - 10.1016/0002-8703(78)90402-7

M3 - Review article

C2 - 339702

AN - SCOPUS:0017908380

SN - 0002-8703

VL - 95

SP - 96

EP - 101

JO - American Heart Journal

JF - American Heart Journal

IS - 1

ER -

Use of precordial ST-segment mapping

Abstract

Access to Document

Fingerprint

Cite this