Publications (92) View all
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Article: MALT-STAFF 2012 Symposium Overview.
Journal of electrocardiology 04/2013; · 1.08 Impact Factor -
Article: Discrimination of ST deviation caused by acute coronary occlusion from normal variants and other abnormal conditions, using computed electrocardiographic imaging based on 12-lead ECG.
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ABSTRACT: BACKGROUND: Many graphical methods for displaying ST-segment deviation in the ECG have been tried for enhancing decision-making in patients with suspected acute coronary syndromes. Computed electrocardiographic imaging (CEI), based on a mathematical inverse solution, has been recently applied to transform ST-J point measurements made in conventional 12-lead ECG into a display of epicardial potentials in bull's-eye format. The purpose of this paper is to assess utility of CEI in the clinical setting. METHODS: In 99 patients with stable coronary disease, 12-lead ECGs were recorded during elective percutaneous coronary intervention (PCI), first before balloon-catheter insertion and then when an intracoronary balloon blocked blood supply to a region of myocardium for more than 4minutes (typically 5minutes). Four groups of patients were additionally studied, namely those with preexcitation, pericarditis, early repolarization syndrome (ERS), and left ventricular hypertrophy (LVH) with strain. Comparisons between performances of published criteria for ST-elevation myocardial infarction (STEMI) and quantitative as well as visual assessment of CEI images were based on sensitivities and specificities. RESULTS: Visual assessment of CEI outperformed STEMI criteria. This was especially evident for the capability of detecting LCx occlusion with sensitivities for STEMI criteria=35% and for visual assessment of CEI by 2 physicians=71%, i. e. twice as many patients were correctly identified by CEI. False positive rates for CEI were low in patients with LVH with strain as well as with preexcitation for both methods. For pericarditis and ERS, visual as well as quantitative assessment of CEI performed better than STEMI criteria. CONCLUSION: Visual assessment of CEI is a promising method for increasing the accuracy of ECG-based triage to PCI, conservative care or patient discharge.Journal of electrocardiology 03/2013; · 1.08 Impact Factor -
Article: Author's Response.
Journal of electrocardiology 01/2013; 46(1):71-2. · 1.08 Impact Factor -
Article: Common pitfalls in the interpretation of electrocardiograms from patients with acute coronary syndromes with narrow QRS: a consensus report.
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ABSTRACT: Acute coronary syndromes (ACS) with narrow QRS are divided into 2 groups: ST-elevation ACS that requires emergency percutaneous coronary intervention, and non-ST elevation ACS. The classification of ACS into these 2 groups is not always straightforward. In this document, we discuss several electrocardiogram patterns of acute ischemia that are often misinterpreted. We suggest that any new recommendations or guidelines from the Scientific Societies should acknowledge these aspects of electrocardiogram interpretation by including appropriate diagnostic criteria that should prove helpful for the optimal management of patients with ACS.Journal of electrocardiology 09/2012; 45(5):463-75. · 1.08 Impact Factor -
Article: On the need for rethinking left ventricular wall terminology in electrocardiography.
Journal of electrocardiology 07/2012; 45(5):485-6. · 1.08 Impact Factor
