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Akut ocklusion av cirkumflexa kransartären svår att upptäcka : Viktigt att titta i »döda vinkeln« på EKG

Lindow, Thomas LU ; Nikus, Kjell and Pahlm, Olle LU (2017) In Läkartidningen 114(41).
Abstract

Acute coronary artery occlusion should be treated with urgent revascularization. ECG is important in the triage of patients with acute coronary syndrome. ST deviation depends on the relation between the location of the transmural ischemia and the positive poles of the 12 ECG leads. In acute occlusion of the left circumflex artery, ST elevation in two contiguous leads is not always present. Instead, isolated ST depression in leads V1–V3 may be present and represents a »STEMI-equivalent« pattern. Detection of acute occlusion of the left circumflex artery may be improved either by including inverted leads or by recording from electrodes on the posterior thorax.

Abstract (Swedish)
Acute coronary artery occlusion should be treated with urgent revascularization. ECG is important in the triage of patients with acute coronary syndrome. ST deviation depends on the relation between the location of the transmural ischemia and the positive poles of the 12 ECG leads. In acute occlusion of the left circumflex artery, ST elevation in two contiguous leads is not always present. Instead, isolated ST depression in leads V1–V3 may be present and represents a »STEMI-equivalent« pattern. Detection of acute occlusion of the left circumflex artery may be improved either by including inverted leads or by recording from electrodes on the posterior thorax.
Please use this url to cite or link to this publication:
author
; and
organization
alternative title
Acute occlusion of the left circumflex coronary artery – in the »blind spot« of the ECG?
publishing date
type
Contribution to journal
publication status
published
subject
in
Läkartidningen
volume
114
issue
41
publisher
Swedish Medical Association
external identifiers
  • scopus:85031289927
  • scopus:85056733532
ISSN
0023-7205
language
Swedish
LU publication?
yes
id
7684539e-04b0-4927-9e40-4a07874ef18f
alternative location
http://www.lakartidningen.se/Klinik-och-vetenskap/Klinisk-oversikt/2017/10/Akut-ocklusion-av-cirkumflexa-kransartaren-svar-att-upptacka/
date added to LUP
2017-11-06 15:15:38
date last changed
2025-01-08 00:03:09
@article{7684539e-04b0-4927-9e40-4a07874ef18f,
  abstract     = {{<p>Acute coronary artery occlusion should be treated with urgent revascularization. ECG is important in the triage of patients with acute coronary syndrome. ST deviation depends on the relation between the location of the transmural ischemia and the positive poles of the 12 ECG leads. In acute occlusion of the left circumflex artery, ST elevation in two contiguous leads is not always present. Instead, isolated ST depression in leads V1–V3 may be present and represents a »STEMI-equivalent« pattern. Detection of acute occlusion of the left circumflex artery may be improved either by including inverted leads or by recording from electrodes on the posterior thorax.</p>}},
  author       = {{Lindow, Thomas and Nikus, Kjell and Pahlm, Olle}},
  issn         = {{0023-7205}},
  language     = {{swe}},
  number       = {{41}},
  publisher    = {{Swedish Medical Association}},
  series       = {{Läkartidningen}},
  title        = {{Akut ocklusion av cirkumflexa kransartären svår att upptäcka : Viktigt att titta i »döda vinkeln« på EKG}},
  url          = {{http://www.lakartidningen.se/Klinik-och-vetenskap/Klinisk-oversikt/2017/10/Akut-ocklusion-av-cirkumflexa-kransartaren-svar-att-upptacka/}},
  volume       = {{114}},
  year         = {{2017}},
}