Early resolution of ST-segment elevation correlates with myocardial salvage assessed by Tc-99m sestamibi scintigraphy in patients with acute myocardial infarction after mechanical or thrombolytic reperfusion therapy

Jun Dong, Gjin Ndrepepa, Claus Schmitt, Julinda Mehilli, Sebastian Schmieder, Markus Schwaiger, Albert Schömig, Adnan Kastrati

Research output: Contribution to journalArticlepeer-review

82 Scopus citations

Abstract

Background - Early resolution of ST-segment elevation is an indicator of final infarct size and clinical outcomes. Whether this correlation is an expression of initial infarct characteristics or degree of myocardial salvage achieved with reperfusion therapy is unclear. Methods and Results - We prospectively included 243 patients with acute myocardial infarction (AMI) treated with either coronary stenting (122 patients) or thrombolysis (121 patients). Serial 12-lead electrocardiograms (ECG) were performed at baseline and 90 minutes after initiation of therapy. ST-segment resolution was defined as complete (≥70%), partial (

Original languageEnglish (US)
Pages (from-to)2946-2949
Number of pages4
JournalCirculation
Volume105
Issue number25
DOIs
StatePublished - Jun 25 2002
Externally publishedYes

Keywords

  • Electrocardiography
  • Myocardial infarction
  • Scintigraphy
  • Stents
  • Thrombolysis

ASJC Scopus subject areas

  • Physiology
  • Cardiology and Cardiovascular Medicine

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