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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, Olle Pahlm, MD, PhD and Galen S. Wagner, MD^||

^_* Glasgow Cardiac Magnetic Resonance Unit
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.