Electrocardiographic comparison of myocardial salvage with primary revascularization versus thrombolysis in inferior myocardial infarction

Michael P. Hudson; Mauricio G. Cohen; Charles Maynard; Janet Patterson; Paul T. Campbell; Kevin Kruse; Galen S. Wagner

doi:10.1054/jelc.2002.30694

Electrocardiographic comparison of myocardial salvage with primary revascularization versus thrombolysis in inferior myocardial infarction

Michael P. Hudson, Mauricio G. Cohen, Charles Maynard, Janet Patterson, Paul T. Campbell, Kevin Kruse, Galen S. Wagner

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

5 Scopus citations

Abstract

Primary revascularization (PR) and thrombolytic therapy (TT) reduce infarct size and mortality in patients with ST-segment elevation acute myocardial infarction (AMI). Electrocardiogram methods can determine the extent of myocardial salvage with different AMI therapies by comparing infarct size predicted by initial ST-segment changes and infarct size estimated by later quantitative QRS scores. In a community hospital setting, we used quantitative electrocardiogram methods to estimate infarct size and myocardial salvage associated with TT and PR amongst 50 patients presenting with inferior ST-segment elevation AMI. Baseline and electrocardiogram characteristics did not differ between TT (n = 29) and PR (n = 21) patients. There was no difference in median myocardial salvage (%) between TT vs. PR groups, (38.3% vs. 44.9% respectively, P = .66). Among patients with inferior AMI, myocardial salvage was achieved with both TT and PR therapy and did not differ significantly between reperfusion strategies.

Original language	English (US)
Pages (from-to)	11-18
Number of pages	8
Journal	Journal of Electrocardiology
Volume	35
Issue number	1
DOIs	https://doi.org/10.1054/jelc.2002.30694
State	Published - 2002
Externally published	Yes

Keywords

Electrocardiogram
Myocardial infarction
Myocardial salvage
Reperfusion therapy

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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10.1054/jelc.2002.30694

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Electrocardiographic comparison of myocardial salvage with primary revascularization versus thrombolysis in inferior myocardial infarction. / Hudson, Michael P.; Cohen, Mauricio G.; Maynard, Charles; Patterson, Janet; Campbell, Paul T.; Kruse, Kevin; Wagner, Galen S.

In: Journal of Electrocardiology, Vol. 35, No. 1, 2002, p. 11-18.

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

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abstract = "Primary revascularization (PR) and thrombolytic therapy (TT) reduce infarct size and mortality in patients with ST-segment elevation acute myocardial infarction (AMI). Electrocardiogram methods can determine the extent of myocardial salvage with different AMI therapies by comparing infarct size predicted by initial ST-segment changes and infarct size estimated by later quantitative QRS scores. In a community hospital setting, we used quantitative electrocardiogram methods to estimate infarct size and myocardial salvage associated with TT and PR amongst 50 patients presenting with inferior ST-segment elevation AMI. Baseline and electrocardiogram characteristics did not differ between TT (n = 29) and PR (n = 21) patients. There was no difference in median myocardial salvage (%) between TT vs. PR groups, (38.3% vs. 44.9% respectively, P = .66). Among patients with inferior AMI, myocardial salvage was achieved with both TT and PR therapy and did not differ significantly between reperfusion strategies.",

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author = "Hudson, {Michael P.} and Cohen, {Mauricio G.} and Charles Maynard and Janet Patterson and Campbell, {Paul T.} and Kevin Kruse and Wagner, {Galen S.}",

note = "Funding Information: From the *Duke Clinical Research Institute, Durham NC, ‡North-east Regional Medical Center, Concord, NC, †The Department of Health Services, University of Washington, and Health Services, Research and Development, Department of Veterans Affairs, Seattle, WA. The authors derived no financial support or compensation in this research effort. Reprint requests: Michael P. Hudson, MD, MHS, Division of Cardiovascular Medicine, Henry Ford Hospital, 2799 West Grand Blvd (K-14), Detroit, MI 48202; e-mail: mhudsonl@hfhs.org. Copyright {\textcopyright} 2002 by Churchill Livingstone{\textregistered} 0022-0736/02/3501-0002$35.00/0 doi:10.1054/jelc.2002.30694 Copyright: Copyright 2017 Elsevier B.V., All rights reserved.",

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N1 - Funding Information: From the *Duke Clinical Research Institute, Durham NC, ‡North-east Regional Medical Center, Concord, NC, †The Department of Health Services, University of Washington, and Health Services, Research and Development, Department of Veterans Affairs, Seattle, WA. The authors derived no financial support or compensation in this research effort. Reprint requests: Michael P. Hudson, MD, MHS, Division of Cardiovascular Medicine, Henry Ford Hospital, 2799 West Grand Blvd (K-14), Detroit, MI 48202; e-mail: mhudsonl@hfhs.org. Copyright © 2002 by Churchill Livingstone® 0022-0736/02/3501-0002$35.00/0 doi:10.1054/jelc.2002.30694 Copyright: Copyright 2017 Elsevier B.V., All rights reserved.

PY - 2002

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N2 - Primary revascularization (PR) and thrombolytic therapy (TT) reduce infarct size and mortality in patients with ST-segment elevation acute myocardial infarction (AMI). Electrocardiogram methods can determine the extent of myocardial salvage with different AMI therapies by comparing infarct size predicted by initial ST-segment changes and infarct size estimated by later quantitative QRS scores. In a community hospital setting, we used quantitative electrocardiogram methods to estimate infarct size and myocardial salvage associated with TT and PR amongst 50 patients presenting with inferior ST-segment elevation AMI. Baseline and electrocardiogram characteristics did not differ between TT (n = 29) and PR (n = 21) patients. There was no difference in median myocardial salvage (%) between TT vs. PR groups, (38.3% vs. 44.9% respectively, P = .66). Among patients with inferior AMI, myocardial salvage was achieved with both TT and PR therapy and did not differ significantly between reperfusion strategies.

AB - Primary revascularization (PR) and thrombolytic therapy (TT) reduce infarct size and mortality in patients with ST-segment elevation acute myocardial infarction (AMI). Electrocardiogram methods can determine the extent of myocardial salvage with different AMI therapies by comparing infarct size predicted by initial ST-segment changes and infarct size estimated by later quantitative QRS scores. In a community hospital setting, we used quantitative electrocardiogram methods to estimate infarct size and myocardial salvage associated with TT and PR amongst 50 patients presenting with inferior ST-segment elevation AMI. Baseline and electrocardiogram characteristics did not differ between TT (n = 29) and PR (n = 21) patients. There was no difference in median myocardial salvage (%) between TT vs. PR groups, (38.3% vs. 44.9% respectively, P = .66). Among patients with inferior AMI, myocardial salvage was achieved with both TT and PR therapy and did not differ significantly between reperfusion strategies.

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Electrocardiographic comparison of myocardial salvage with primary revascularization versus thrombolysis in inferior myocardial infarction

Abstract

Keywords

ASJC Scopus subject areas

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