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This guide to the proper use of the ECG in diagnosing acute myocardial infarction puts the combined experience of international authorities at your fingertips for immediate use. In The 12 Lead ECG in ST Elevation MI: A Practical Approach for Clinicians, Drs. Bayés de Luna, Fiol-Sala and Antman supply the practical, specific information you need to determine which patients with ACS are showing ST elevation. To facilitate correct diagnosis and guide management, the authors use a consistent sequence to explain the ECG abnormalities for each site of coronary occlusion. A schematic of the coronary tree illustrates the point of occlusion. The second part of the book contains a self-assessment section with a series of 15 cases, each of which includes one or more 12-lead ECGs for analysis. These valuable examples help you prepare for on-the-spot interpretation in the emergency department or intensive care unit.

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The 12 Lead ECG in ST Elevation Myocardial Infarction

The ECG is a fundamental diagnostic tool in cardiology, allowing accurate diagnosis and monitoring of acute and chronic ischemic heart disease. In this most comprehensive book of its kind, internationally renowned authors correlate electrocardiographic recordings with anatomical patterns of myocardial ischemia to improve the diagnosis and management of patients with ischemic heart disease. The book is structured in two sections. Part One covers electrocardiographic patterns of ischemia, injury and infarction. • Each chapter discusses a different ECG abnormality in turn, clearly explaining the ischemic insults and electrophysiological mechanisms underlying each pattern to promote rapid and accurate interpretation of the ECG in the clinical setting. • ECG abnormalities are correlated with myocardial anatomy and coronary angiography to produce a series of practical diagnostic algorithms that allow the clinician to identify not only the occluded artery but the precise location of the occlusion within the artery, facilitating appropriate therapeutic decisions. • The authors also propose a new classification of Q-wave myocardial infarctions based on imaging correlations with advanced techniques such as contrast-enhanced cardiac magnetic resonance. Part Two of the book covers the ECG in clinical practice. Each chapter focuses on a different clinical syndrome, describing the role of the ECG in a global approach to the diagnosis, prognosis and risk stratification of patients with acute and chronic ischemic heart disease and guiding clinical decision-making. Extensively referenced and illustrated throughout, this book is highly recommended for any clinician involved in the diagnosis and management of ischemic heart disease.

Miquel Fiol-Sala