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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Main Authors: V. E. Oleynikov, E. A. Shitogarova, A. V. Kulyutsin, S. V. Evstigneev
Format: Article
Language:Russian
Published: «FIRMA «SILICEA» LLC 2014-09-01
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.
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institution Matheson Library
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language Russian
publishDate 2014-09-01
publisher «FIRMA «SILICEA» LLC
record_format Article
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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AT eashitogarova improvementofrethrombosisdiagnosticsinsteacspatientswithuseoftelemonitoringofecg
AT avkulyutsin improvementofrethrombosisdiagnosticsinsteacspatientswithuseoftelemonitoringofecg
AT svevstigneev improvementofrethrombosisdiagnosticsinsteacspatientswithuseoftelemonitoringofecg