[Electrocardiographic signs of coronary reperfusion in patients with myocardial infarct].
ST changes were assessed in records from electrocardiographic leads I, II, III, V as well as monitoring leads in 109 patients with myocardial infarction on thrombolytic and/or heparin treatment conducted under angiographic control. In patients with coronary reperfusion, achieved by thrombolytic treatment within 8 hours of the onset of infarction, ST displacement diminished more than twofold by the third hour of treatment in records from leads I, II, III and V, there was a rapid ST fall in monitoring leads that started within 90 min after the onset of thrombolytic therapy and went on for not more than 60 min at a maximum rate; ST reached its baseline (mean ST level over the last 6 hours of 24-hour monitoring) in records from the monitoring leads within 7 hours after the onset of thrombolytic therapy. These signs of coronary reperfusion are suggestive of the recovery of coronary flow by means of thrombolytic therapy within 8 hours of the onset of myocardial infarction.
Smirnov
A A
AA
Khakimov
A G
AG
Dorogun
B N
BN
Pomerantsev
E V
EV
Tagieva
I A
IA
D000328:Adult; D000368:Aged; D003326:Coronary Circulation / Q000187:drug effects*; D004562:Electrocardiography; D005343:Fibrinolytic Agents / Q000627:therapeutic use*; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D008875:Middle Aged; D008991:Monitoring, Physiologic; D009203:Myocardial Infarction / Q000188:drug therapy* / Q000503:physiopathology; D013300:Streptokinase / Q000627:therapeutic use
D005343:Fibrinolytic Agents; D006493:Heparin; D013300:Streptokinase
Elektrokardiograficheskie priznaki koronarnoĭ reperfuzii u bol'nykh infarktom miokarda.