Journal of Emergency Nursing
Volume 34, Issue 4 , Pages 324-329 , August 2008

Clinical Pearls and Pitfalls of Electrocardiogram Interpretation in Acute Myocardial Infarction

  • Shelley Calder, BSN, CEN, MN

      Affiliations

    • Corresponding Author InformationFor correspondence, write: Shelley Calder, BSN, CEN, MN, Emergency Department, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA 02155

References 

  1. American College of Cardiology/American Heart Association Task Force. ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction. Am Heart Assoc. 2004;110:588–636
  2. Garvey JL. EKG techniques and technologies. Emerg Med Clin North Am. 2006;24:209–225
  3. Dubin D. Rapid interpretation of EKGs. Tampa: COVER Publishing; 2000;
  4. Podrid P. EKG tutorial: ST and T wave changes. UpToDAte. Available at: http://www.uptodate.com/application/topic/print.aspAccessed February 18, 2006
  5. Carter C, Lucas J. Photo quiz. All is not well…. Am Fam Physician. 2002;66:1743–1744
  6. Wang K, Asinger RW, Marriott HJ. ST-segment elevation in conditions other than acute myocardial infarction. N Engl J Med. 2003;349:2128–2135
  7. Ghaemmaghami C, Brady W. Pitfalls in the emergency department diagnosis of acute myocardial infarction. Emerg Med Clin North Am. 2001;19:351–369
  8. Casas RE, Marriott HJ, Glancy DL. Value of leads V7-V9 in diagnosing posterior wall acute myocardial infarction and other causes of tall R waves in V1-V2. Am J Cardiol. 1997;80:508–509
  9. Ornato J, Scarpinato V. Critical first steps in cardiac emergencies. Patient Care. 2004;38:12–24
  10. Go AS, Barron HV, Rundle AC, Ornato JP, Avins AL. Bundle-branch block and in-hospital mortality in acute myocardial infarction National Registry of Myocardial Infarction 2 Investigators. Ann Intern Med. 1998;129:690–697
  11. Li SF, Walden PL, Marcilla O, Gallagher EJ. Electrocardiographic diagnosis of myocardial infarction in patients with left bundle branch block. Ann Emerg Med. 2000;36:561–565
  12. Wackers FJ. The diagnosis of myocardial infarction in the presence of left bundle branch block. Cardiol Clin. 1987;5:393–401
  13. Fesmire FM, Percy RF, Bardoner JB, Wharton DR, Calhoun FB. Usefulness of automated serial 12-lead EKG monitoring during the initial emergency department evaluation of patients with chest pain. Ann Emerg Med. 1998;31:3–11
  14. Hancock WE. Diseases of the pericardium, cardiac tumors, and cardiac trauma. Available at: http://www.medscape.com/viewarticle/462767?src=searchAccessed March 5, 2006
  15. Brady W. Causes of ST segment elevation in emergency department chest pain Patients. Presented at the International Emergency Medicine Conference, Vancouver, Canada. May 26, 1998.
  16. Mehta M. Early repolarization in scalar electrocardiogram. Am J Cardiol. 1995;309:305–311
  17. Spodick DH. Differential characteristics of the electrocardiogram in early repolarization and acute pericarditis. N Engl J Med. 1976;295:523–526
  18. Sgarbossa EB, Pinski SL, Barbagelata A, Underwood DA, Gates KB, Topol EJ, et al. Electrocardiographic diagnosis of evolving acute myocardial infarction in the presence of left bundle-branch block. GUSTO-1 (Global Utilization of Streptokinase and Tissue Plasminogen Activator for Occluded Coronary Arteries) Investigators. N Engl J Med. 1996;334:481–487Erratum in: N Engl J Med 1996;334:931
  19. Tran HA. Extreme hyperkalemia. South Med J. 2005;98:729–732

 Earn Up to 8 CE Hours. See page 387.

PII: S0099-1767(07)00451-5

doi: 10.1016/j.jen.2007.08.003

Journal of Emergency Nursing
Volume 34, Issue 4 , Pages 324-329 , August 2008

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