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ST Morphology: Difference between revisions
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| align = right | | align = right | ||
| direction = vertical | | direction = vertical | ||
| width = | | width = 300 | ||
| image1 = stelevatie_en.png | | image1 = stelevatie_en.png | ||
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| image4 = Pathologic ST elevation.png | | image4 = Pathologic ST elevation.png | ||
| caption4 = Examples of pathologic ST elevation. [[LVH]], [[LBBB]], [[Pericarditis]], [[Hyperkalemia]], [[Anterior AMI]]. Adapted from <cite>Wang</cite> | | caption4 = Examples of pathologic ST elevation. [[LVH]], [[LBBB]], [[Pericarditis]], [[Hyperkalemia]], [[Anterior AMI]]. Adapted from <cite>Wang</cite> | ||
| image5 = Semantic_confusion_early_repolarization.svg | |||
| caption5 = Unfortunately the term early repolarization is used to describe different phenomenons with differing clinical impact. Image adapted from Froelicher et al.<cite>Froelicher</cite> | |||
}} | }} | ||
The most important cause of '''ST segment elevation''' is '''acute [[Ischemia]]'''. Other causes are <cite>Wang</cite><cite>Werf</cite>: | The most important cause of '''ST segment elevation''' is '''acute [[Ischemia]]'''. Other causes are <cite>Wang</cite><cite>Werf</cite>: | ||
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[[Image:early_repol.png|thumb|none|Characteristics of early repolarization]] | [[Image:early_repol.png|thumb|none|Characteristics of early repolarization]] | ||
'''Early repolarization''' is a term used for ST segment elevation without underlying disease. It probably has nothing to do with actual early repolarization. It is commonly seen in young men. It is important to discern early repolarization from ST segment elevation from other causes such as [[ischemia]]. Characteristics of early repolarization are:<cite>Kambara</cite> | '''Early repolarization''' is a term used for ST segment elevation without underlying disease. It probably has nothing to do with actual early repolarization. It is commonly seen in young men. It is important to discern early repolarization from ST segment elevation from other causes such as [[ischemia]]. Characteristics of early repolarization are:<cite>Kambara</cite> | ||
* an upward concave elevation of the RS-T segment with distinct or "embryonic" J waves | * an upward concave elevation of the RS-T segment with distinct or "embryonic" J waves | ||