medical decision support 1 medical decision support 2
Subscribe Sign In

Electrocardiographic Findings of Nikus et al Associated with Left Main or Severe Triple Vessel Disease in a Patient with Acute Coronary Syndrome

Purpose: To identify a patient with acute coronary syndrome (ACS) who may have left main or severe triple vessel disease based on changes seen in the ECG.

Description

It is important to identify a patient with left main or severe triple vessel disease since the patient is at high risk for death if there is a sudden obstruction. Nikus et al identified an ECG pattern which can help to recognize such a patient. The authors are from Tampere University Hospital in Finland and Procardia Medical Center in Tel Aviv.


Patient selection: acute coronary syndrome (ACS)

 

Pattern in the ECG:

(1) transient ST-segment depression

(2) negative T waves, with maximal depression seen in lead V4 or V5

 

This pattern correlates with acute circumferential subendocardial ischemia.

 

A patient who shows this pattern on the ECG should be considered for angiography and an intervention to improve coronary perfusion.


To read more or access our algorithms and calculators, please log in or register.

Specialty

Objective

ICD-10