title: [A non-Q wave myocardial infarct with an up or down shift of the ST segment in the acute phase: the clinical, echocardiographic, ergometric and coronary angiographic correlates].
abstract: To assess the significance of ST segment shift during the acute phase of non-Q myocardial infarction we studied the clinic echocardiographic, ergometric and coronarographic findings of 46 patients with a first non-Q wave myocardial infarction. The study population was subdivided in 2 subgroups on the basis of acute electrocardiographic change (Group I with ST elevation, Group II with ST depression). Patients with ST elevation had little myocardial infarction with enzymatic (early CPK peak) and coronarographic (low prevalence of coronary occlusion) signs of early spontaneous fibrinolysis. The second group had more diffuse myocardial infraction, higher prevalence of multivessel coronary disease and positive stress test. The ECG changes in this subgroup an probably due to subendocardial necrosis for the presence of collateral flow. The worse intrahospital prognosis of patients with ST segment depression may be related to cardiac function and age.
authors.affiliation: Dipartimento di Scienze Cardiovascolari e Respiratorie, Università degli Studi La Sapienza, Roma.
authors.forename: C D
authors.initials: CD
authors.lastname: Vizza
authors.forename: S
authors.initials: S
authors.lastname: Sciomer
authors.forename: F
authors.initials: F
authors.lastname: Imola
authors.forename: M
authors.initials: M
authors.lastname: Tomassini
authors.forename: L R
authors.initials: LR
authors.lastname: Pastore
authors.forename: C
authors.initials: C
authors.lastname: Iacoboni
authors.forename: A
authors.initials: A
authors.lastname: Dagianti
authors.forename: F
authors.initials: F
authors.lastname: Fedele
authors.forename: A
authors.initials: A
authors.lastname: Dagianti
mesh_terms: D000368:Aged; D017023:Coronary Angiography / Q000379:methods / Q000706:statistics & numerical data; D004452:Echocardiography / Q000379:methods / Q000706:statistics & numerical data; D004562:Electrocardiography / Q000706:statistics & numerical data; D005080:Exercise Test / Q000379:methods / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000453:epidemiology; D015995:Prevalence; D013997:Time Factors
vernacular_title: Infarto miocardico senza onde Q con sopra o sottoslivellamento del tratto ST in fase acuta: correlati clinici, ecocardiografici, ergometrici e coronarografici.