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Hyperacute T-waves Can Be a Useful Sign of Occlusion Myocardial Infarction if Appropriately Defined by Stephen W. Smith; Harvey Pendell Meyers is a Medicine article available to read on EtoBox.
What is Hyperacute T-waves Can Be a Useful Sign of Occlusion Myocardial Infarction if Appropriately Defined about?
Koechlin et al, in this issue of Annals, using the APACE database, attempt to study the use of "hyperacute T-waves" in diagnosing acute myocardial infarction. Unfortunately, critical limitations in the definition of hyperacute T-waves and an outcome definition of any acute myocardial infarction make the results inapplicable to the concept of hyperacute T-waves seen in acute coronary occlusion myocardial infarction. The authors start by emphasizing the need to act rapidly in ST elevation myocardial infarction (STEMI) to reperfuse acute coronary occlusion (occlusion myocardial infarction). Using the APACE database, they study 445 type I acute myocardial infarctions (including 82 STEMIs and 363 NSTEMI) and compare them to 2,012 patients without acute myocardial infarction. This author group previously reported that there were 135 occlusion myocardial infarctions among these 445 type I acute myocardial infarctions. 1,2 They have already shown in this cohort that STEMI criteria are not sensitive even for occlusion myocardial infarction, much less any acute myocardial infarction, as has been shown in many other studies. [3][4][5][6] It would indeed be appropriate to study whether hyperac
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- Author
- Stephen W. Smith; Harvey Pendell Meyers
- Publisher
- Elsevier BV
- Published
- 2023
- Language
- EN
- Field
- Medicine (Health Sciences)