Abstract
In the article authors show the role of electrocardiography for differential diagnostics of acute chest pain. Authors are bring diseases over, resulting in appearance of acute pains in the chest, a clinic and differentially-diagnostic approaches are described. Advantages and disadvantages of method are shown. A considerable role is taken to diagnostics of pulmonary tromboembolism (PTE), ECG distinguishing features of PTE and other diseases of myocardium, are shown.
References
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15. Zheng W., Ma J., Wu S., Wang G. Et al. Effective combination of isolated symptom variables to help stratifying acute undifferentiated chest pain in the emergency department // Clinical cardiology. — 2019. — Vol. 42 (4). — P. 467-475.
2. Bao H., Cai H., Zhao Y. et al. Nonspecific ST-T changes associated withunsatisfactory blood pressure control among adults with hypertension in China Evidence from the CSPPT study // Medicine. — Vol. 96, Issue 13. — P. e6423. doi: 10.1097/MD.0000000000006423
3. Campbell K.A., Madva E.N., Villegas A.C. et al. Non-cardiac chest pain: a review for the consultation-liaison psychiatrist // Psychosomatics. — 2017. — Vol. 58 (3). — Р. 252-265.
4. Garvey J.L., Zegre-Hemsey J., Gregg R., Studnek J.R. Electrocardiographic diagnosis of ST segment elevation myocardial infarction: an evaluation of three automated interpretation algorithms // Journal of electrocardiology. — 2016. Vol. 49 (5). — P. 728-732.
5. Klabunde R.E. Cardiac electrophysiology: normal and ischemic ionic currents and the ECG // AJP Advances in Physiology Education. — 2017. — Vol. 41 (1). — P. 29-37. doi: 10.1152/advan.00105.2016
6. Jkema B.B.L.M., Bonnier J.J.R.M., Schoors D., Schalij M.J., Swenne C.A. Role of the ECG in initial acute coronary syndrome triage: primary PCI regardless presence of ST elevation or of non-ST elevation // Neth Heart J. — 2014. — Vol. 22 (11). — P. 484-490. doi: 10.1007/s12471-014-0598-9
7. Jonas, D.E., Reddy S., Middleton J.C. et al. Screening for cardiovascular disease risk with resting or exercise electrocardiography: evidence report and systematic review for the US Preventive Services Task Force // JAMA. — 2018. — Vol. 319 (22). — P. 2315-2328.
8. Leisy P.J., Coeytaux R.R., Wagner Galen S. et al ECG-based signal analysis technologies for evaluating patients with acute coronary syndrome: A systematic review // Journal of electrocardiology. — 2013. — Vol. 46 (2). — P. 92-97. doi: 10.1016/j.jelectrocard.2012.11.010
9. Loewe A., Schulze W.H., Jiang Y. et al. ECG-Based Detection of Early Myocardial Ischemia in a Computational Model: Impact of Additional Electrodes, Optimal Placement, and a New Feature for ST Deviation // BioMed research international. — 2015. — Vol. 2015. — P. 530352. doi: 10.1155/2015/530352
10. Mittal S.R. Diagnosis of coronary microvascular dysfunction — Present status // Indian heart journal. — 2015. — Vol. 67 (6). — P. 552-560. doi:10.1016/j.ihj.2015.08.008
11. Riley R.F., Miller C.D., Russell G.B., Soliman E.Z., Hiestand B.C., Herrington D.M., Mahler S.A. Usefulness of Serial 12-Lead Electrocardiograms in Predicting 30-Day Outcomes in Patients With Undifferentiated Chest Pain (the ASAP CATH Study) // The American journal of cardiology. — 2018. — Vol. 122 (3). — P. 374-380.
12. Ringborn M. Ventricular Depolarization in Ischemic Heart Disease.Value of Electrocardiography in Assessment of Severity and Extent of Acute Myocardial Ischemia. Lund University, Faculty of Medicine Doctoral Dissertation Series 2013. — 114 р.
13. Tewelde S.Z., Mattu A., Brady Jr W.J. Pitfalls in electrocardiographic diagnosis of acute coronary syndrome in low-risk chest pain // Western Journal of Emergency Medicine. — 2017. — Vol. 18 (4). — P. 601.
14. Tsutsumi K., Tsukahara K. Is The Diagnosis ST-Segment Elevation or Non-ST-Segment Elevation Myocardial Infarction? // Circulation. — 2018. — Vol. 138 (23). — P. 2715-2717. doi: 10.1161/CIRCULATIONAHA.118.037818
15. Zheng W., Ma J., Wu S., Wang G. Et al. Effective combination of isolated symptom variables to help stratifying acute undifferentiated chest pain in the emergency department // Clinical cardiology. — 2019. — Vol. 42 (4). — P. 467-475.
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