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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

WORLD EMERGENCY MEDICINE SOCIETIES

Gastric ultrasound for preoperative assessment

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jueves, 21 de abril de 2011

Alteraciones del segmento ST diferentes al IAM

ST-Segment Elevation in Conditions Other Than Acute Myocardial Infarction

Kyuhyun Wang, M.D., Richard W. Asinger, M.D., and Henry J.L. Marriott, M.D. N Engl J Med 2003; 349:2128-2135

"Acute myoardial infarction resulting from an occlusive thrombus is recognized on an electrocardiogram by ST-segment elevation. Early reperfusion therapy has proved beneficial in such infarctions. The earlier the reperfusion, the greater the benefit, and the time to treatment is now considered to indicate the quality of care. These days, when thrombolytic treatment and percutaneous intervention are carried out so readily, it is important to remember that acute infarction is not the only cause of ST-segment elevation. The purpose of this review is to describe other conditions that mimic infarction and emphasize the electrocardiographic clues that can be used to differentiate them from true infarction."

http://www.cchil.org/hospitalmedicine/images/resources/091308-052725pm-2128.pdf