IMPROVEMENT OF RETHROMBOSIS DIAGNOSTICS IN STEACS PATIENTS WITH USE OF TELEMONITORING OF ECG
Aim. To study diagnostic significance of transient ST elevation, revealing with telemetric ECG monitoring in patients with effective systemic thrombolysis (STL) in acute coronary syndrome with ST elevation (STEACS).Material and methods. Totally 56 patients included of both genders, with STEACS, havi...
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«FIRMA «SILICEA» LLC
2014-09-01
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Series: | Российский кардиологический журнал |
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Online Access: | https://russjcardiol.elpub.ru/jour/article/view/141 |
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author | V. E. Oleynikov E. A. Shitogarova A. V. Kulyutsin S. V. Evstigneev |
author_facet | V. E. Oleynikov E. A. Shitogarova A. V. Kulyutsin S. V. Evstigneev |
author_sort | V. E. Oleynikov |
collection | DOAJ |
description | Aim. To study diagnostic significance of transient ST elevation, revealing with telemetric ECG monitoring in patients with effective systemic thrombolysis (STL) in acute coronary syndrome with ST elevation (STEACS).Material and methods. Totally 56 patients included of both genders, with STEACS, having ECG signs of successful STL during 3 hours after disease had started. All patients in acute coronary unit envirnonment underwent telemetric ECG registration with "Astrocard-Telemetry" complex (CJSC Meditek, Russia) with analysis of ST dynamics by 12-lead automatic regimen with following physician verification. Results. At most the re-elevation of ST was unsymptomatic. By coronary arteriography most patients with registered transient re-elevation episodes had shown thrombosis of infarction-relevant artery.Conclusion. Transient re-elevation of ST by 1 mm and more is an accurate diagnostic criteria of coronary rethrombosis development and makes it possible to identify patients group whom urgent PCI after STL is recommended. Asymptomatic re-elevation episodes of ST can be found on time only with telemetric ECG- monitoring. |
format | Article |
id | doaj-art-d1a7e36921c44d4a83962a08b5ee8ba8 |
institution | Matheson Library |
issn | 1560-4071 2618-7620 |
language | Russian |
publishDate | 2014-09-01 |
publisher | «FIRMA «SILICEA» LLC |
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series | Российский кардиологический журнал |
spelling | doaj-art-d1a7e36921c44d4a83962a08b5ee8ba82025-08-04T13:00:10Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202014-09-0109374210.15829/1560-4071-2014-9-37-42141IMPROVEMENT OF RETHROMBOSIS DIAGNOSTICS IN STEACS PATIENTS WITH USE OF TELEMONITORING OF ECGV. E. Oleynikov0E. A. Shitogarova1A. V. Kulyutsin2S. V. Evstigneev3Penza State University, Medicine Institute, department for therapySBHI Penza Region Clinical Hospital n.a. N. N. Burdenko, Penza, RussiaPenza State University, Medicine Institute, department for therapy SBHI Penza Region Clinical Hospital n.a. N. N. Burdenko, Penza, RussiaSBHI Penza Region Clinical Hospital n.a. N. N. Burdenko, Penza, RussiaAim. To study diagnostic significance of transient ST elevation, revealing with telemetric ECG monitoring in patients with effective systemic thrombolysis (STL) in acute coronary syndrome with ST elevation (STEACS).Material and methods. Totally 56 patients included of both genders, with STEACS, having ECG signs of successful STL during 3 hours after disease had started. All patients in acute coronary unit envirnonment underwent telemetric ECG registration with "Astrocard-Telemetry" complex (CJSC Meditek, Russia) with analysis of ST dynamics by 12-lead automatic regimen with following physician verification. Results. At most the re-elevation of ST was unsymptomatic. By coronary arteriography most patients with registered transient re-elevation episodes had shown thrombosis of infarction-relevant artery.Conclusion. Transient re-elevation of ST by 1 mm and more is an accurate diagnostic criteria of coronary rethrombosis development and makes it possible to identify patients group whom urgent PCI after STL is recommended. Asymptomatic re-elevation episodes of ST can be found on time only with telemetric ECG- monitoring.https://russjcardiol.elpub.ru/jour/article/view/141acute coronary syndrome with st segment elevationecg telemetryst segment re-elevationasymptomatic myocardial ischemiacoronary artery rethrombosis |
spellingShingle | V. E. Oleynikov E. A. Shitogarova A. V. Kulyutsin S. V. Evstigneev IMPROVEMENT OF RETHROMBOSIS DIAGNOSTICS IN STEACS PATIENTS WITH USE OF TELEMONITORING OF ECG Российский кардиологический журнал acute coronary syndrome with st segment elevation ecg telemetry st segment re-elevation asymptomatic myocardial ischemia coronary artery rethrombosis |
title | IMPROVEMENT OF RETHROMBOSIS DIAGNOSTICS IN STEACS PATIENTS WITH USE OF TELEMONITORING OF ECG |
title_full | IMPROVEMENT OF RETHROMBOSIS DIAGNOSTICS IN STEACS PATIENTS WITH USE OF TELEMONITORING OF ECG |
title_fullStr | IMPROVEMENT OF RETHROMBOSIS DIAGNOSTICS IN STEACS PATIENTS WITH USE OF TELEMONITORING OF ECG |
title_full_unstemmed | IMPROVEMENT OF RETHROMBOSIS DIAGNOSTICS IN STEACS PATIENTS WITH USE OF TELEMONITORING OF ECG |
title_short | IMPROVEMENT OF RETHROMBOSIS DIAGNOSTICS IN STEACS PATIENTS WITH USE OF TELEMONITORING OF ECG |
title_sort | improvement of rethrombosis diagnostics in steacs patients with use of telemonitoring of ecg |
topic | acute coronary syndrome with st segment elevation ecg telemetry st segment re-elevation asymptomatic myocardial ischemia coronary artery rethrombosis |
url | https://russjcardiol.elpub.ru/jour/article/view/141 |
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