Automated electrocardiographic diagnosis of myocardial infarction
https://doi.org/10.30629/0023-2149-2021-99-9-10-531-539
Abstract
In 2020, the Russian Society of Cardiology published the clinical guidelines for the diagnosis of acute coronary syndrome and acute myocardial infarction with the use of electrocardiography terms and symbols. Currently, a specialist in functional diagnostics often has questions when formulating an ECG diagnosis. The formulations accepted for describing ECG for coronary circulation disorders («focal myocardial changes»), and non-specifi c repolarization abnormalities stated («diff use myocardial changes») in the Russian methodology [1] are not always related to a coronary disease. The article presents an overview of currently existing ECG criteria of myocardial infraction to be used by a specialist in functional diagnostics in an automated workplace. It is suggested to prepare an ECG report for patients with acute coronary syndrome (particularly those with myocardial infarction) based on the presence of areas of myocardial ischemia, damage and necrosis.
About the Authors
V. I. Levin
Military Medical Academy named after Kirov S.M. (Moscow Branch) of the Ministry of Defense of Russia
Russian Federation
Russian Federation
Vladimir I. Levin — lecturer of the department of emergency therapy
107392, Moscow
Yu. V. Ovchinnikov
Military Medical Academy named after Kirov S.M. (Moscow Branch) of the Ministry of Defense of Russia
Russian Federation
Russian Federation
107392, Moscow
N. R. Nugaeva
Military Medical Academy named after Kirov S.M. (Moscow Branch) of the Ministry of Defense of Russia
Russian Federation
Russian Federation
107392, Moscow
A. A. Tolstikhina
2Central Military Clinical Hospital named after Mandrykа P.V. of the Ministry of Defense of Russia
Russian Federation
Russian Federation
107014, Moscow
References
1. Beresten N.F., Sandrikov V.A., Fedorova S.I. National leadership. Functional diagnostics. 2019:72–76. (in Russian)
2. Afonaskov O.V., Levin V.I., Nugaeva N.R., Tolstikhina A.A. Digital medicine. Organization of an automated workplace of a functional diagnostics doctor in a hospital. Medical alphabet. 2018;2(23):29–32. (in Russian)
3. Simonenko V.B., Kitsyshin V.P., Kurenkova I.G., Levin V.I. et al. Methodological recommendations for standardization of ECG conclusions. 2015. (in Russian)
4. Simonenko V.B., Levin V.I., Simonenko Yu.V. Terms of reference for IT specialist for automation of electrocardiographic conclusion. Information and telecommunication technologies. 2019;42:23–31. (in Russian)
5. Recommendations for the Standardization and Interpretation of the Electrocardiogram, 2009. (In Russian). [Electronic resource] URL: https://studfile.net/_images/logotype_hd.png.
6. Recommendations of NSTEMI ESC 2015. Russian Journal of Cardiology. 2016;3(131):9–63. (in Russian) DOI: 10.15829/1560-4071-2016-3-9-63
7. Clinical recommendations «Acute myocardial infarction with ST segment elevation electrocardiogram». Ministry of Health of the Russian Federation, 2020. (in Russian)
8. Signs of myocardial infarction with ST segment elevation on ECG. MedUniver. (In Russian). [Electronic resource] URL: https://meduniver.com/Medical/cardiologia/infarkt_miokarda_s_podiemom_st_na_ekg.html. Дата доступа 21.01.21.
Review
For citations:
Levin V.I., Ovchinnikov Yu.V., Nugaeva N.R., Tolstikhina A.A. Automated electrocardiographic diagnosis of myocardial infarction. Clinical Medicine (Russian Journal). 2021;99(9-10):531-539. (In Russ.) https://doi.org/10.30629/0023-2149-2021-99-9-10-531-539
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