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Bagi yang belum beruntung, jangan khawatir ya, Nantikan The Aesthetics Skin Giveaway berikutnya 😊😊
Have a nice weekend!! .
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ECG Wave changes during evolution of myocardial damage
Electrocardiography in myocardial infarction
Electrocardiography in suspected myocardial infarction has the main purpose of detecting ischemia or acute coronary injury in emergency department populations coming for symptoms of myocardial infarction (MI). Also, it can distinguish clinically different types of myocardial infarction.
The 12 lead ECG is used to classify MI patients into one of three groups:
those with ST segment elevation or new bundle branch block (suspicious for acute injury and a possible candidate for acute reperfusion therapy with thrombolytics or primary PCI),
those with ST segment depression or T wave inversion (suspicious for ischemia), and
those with a so-called non-diagnostic or normal ECG. However, a normal ECG does not rule out acute myocardial infarction.
ST elevation MI
The current guidelines for the ECG diagnosis of the ST segment elevation type of acute myocardial infarction require at least 1 mm (0.1 mV) of ST segment elevation in the limb leads, and at least 2 mm elevation in the precordial leads.
Sometimes the earliest presentation of acute myocardial infarction is the hyperacute T wave, which is treated the same as ST segment elevation. In practice this is rarely seen, because it only exists for 2–30 minutes after the onset of infarction. Hyperacute T waves need to be distinguished from the peaked T waves associated with hyperkalemia.
In the first few hours the ST segments usually begin to rise. Pathological Q waves may appear within hours or may take greater than 24 hr. The T wave will generally become inverted in the first 24 hours, as the ST elevation begins to resolve.
Long term changes of ECG include persistent Q waves (in 90% of cases) and persistent inverted T waves. Persistent ST elevation is rare except in the presence of a ventricular aneurysm.