1984
DOI: 10.1016/0002-9149(84)90308-4
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Relation of st-segment elevation after healing of acute myocardial infarction to the presence of left ventricular aneurysm

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Cited by 27 publications
(7 citation statements)
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“…Moreover, in our study, patients exhibiting persistent STE showed left ventricular aneurysm more frequently, even though this difference did not achieve a statistical significance. Taking into account the findings of previous studies [1][2][3][4][5][6][7], this result is not surprising and highlights the low positive predictive value of persistent STE in detecting left ventricular aneurysm, leading to the criticism about wall motion abnormalities as mechanism of electrocardiographic alterations. Recently, Li et al [22] provided direct evidence in animals that the opening of sarcolemmal K ATP channels underlies STE during ischemia.…”
Section: Discussionmentioning
confidence: 55%
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“…Moreover, in our study, patients exhibiting persistent STE showed left ventricular aneurysm more frequently, even though this difference did not achieve a statistical significance. Taking into account the findings of previous studies [1][2][3][4][5][6][7], this result is not surprising and highlights the low positive predictive value of persistent STE in detecting left ventricular aneurysm, leading to the criticism about wall motion abnormalities as mechanism of electrocardiographic alterations. Recently, Li et al [22] provided direct evidence in animals that the opening of sarcolemmal K ATP channels underlies STE during ischemia.…”
Section: Discussionmentioning
confidence: 55%
“…However, this correlation is one of the most controversial in electrocardiography, as previous studies failed to demonstrate a close relationship between this electrocardiographic pattern and left ventricular aneurysm [5][6][7]. Furthermore, the explanation of the underlying mechanism of persistent STE and its pathological correlates is still unclear [10][11][12].…”
Section: Discussionmentioning
confidence: 99%
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“…However, this association is among the most controversial in electrocardiography, since previous studies, including echocardiography and angiography, clearly showed a more severe systolic dysfunction and wall motion abnormalities in patients with persistent STE, but failed to demonstrate a definite relationship between this electrocardiographic pattern and left ventricular aneurysm. Moreover, the explanation of the underlying mechanism of persistent STE and its pathological correlates are still unclear (Bar et al, 1984& Lidsay J et al, 1984Bhatnagar, 1994). Recently, using cardiac magnetic resonance, correlations between this ECG pattern and type of myocardial damage have been reported.…”
Section: Ecg In Stabilized Myocardial Infarctionmentioning
confidence: 99%
“…Among those patients without S-T segment elevation, 25% had left ventricular aneurysm, 8% had dyskinesis and 58% had akinesis. We conclude that the presence of persistent S-T segment elevation on the electrocardiogram is predictive of severe forms of wall motion abnormalities of the left ventricle including aneurysm.Introduction 8] between S-T segment elevation and the presence of left ventricular aneurysm, this has not been confirmed in other studies [9,10]. Furthermore, there is other evi dence to suggest that persistent S-T segment elevation may be more closely related to dyskinetic wall motion rather than aneurysm formation [11][12][13].…”
mentioning
confidence: 97%