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ST-Segment Deviation Analysis of the Admission 12-Lead Electrocardiogram as an Aid to Early Diagnosis of Acute Myocardial Infarction With a Cardiac Magnetic Resonance Imaging Gold Standard

Thomas N. Martin, MD^_*,_*, Bjoern A. Groenning, MD^_*, Heather M. Murray, MSc, Tracey Steedman, BSc^_*, John E. Foster, PhD^_*, Alex T. Elliot, PhD^_*, Henry J. Dargie, MD^_*, Ronald H. Selvester, MD^,1, Olle Pahlm, MD, PhD and Galen S. Wagner, MD^||,2

^_* Glasgow Cardiac Magnetic Resonance Unit, Glasgow University, Glasgow, United Kingdom
Robertson Centre for Biostatistics, Glasgow University, Glasgow, United Kingdom
Memorial Hospital, Long Beach, California
Department of Clinical Physiology, Lund University Hospital, Lund, Sweden
^|| Duke University Medical Center, Durham, North Carolina.

View larger version (12K): [in this window] [in a new window] [Download PPT slide]   Figure 1 Comparative Myocardial Infarct Sizes With ECG Criteria Comparative myocardial infarct sizes (g) with median and interquartile ranges for 3 groups divided according to American College of Cardiology/European Society of Cardiology (ACC/ESC) criteria: detected by ST-segment elevation myocardial infarction (STEMI) criteria only (open triangles); detected by STEMI-equivalent criteria only (x); and acute myocardial infarction missed by both criteria (open circles). ECG = electrocardiographic.