ЭЛЕКТРОКАРДИОГРАФИЧЕСКИЕ ПРИЗНАКИ ОСТРОЙ ИШЕМИИ МИОКАРДА КАК ЭКВИВАЛЕНТЫ ОСТРОГО КОРОНАРНОГО СИНДРОМА С ПОДЪЕМОМ СЕГМЕНТА ST

Early initiation of reperfusion therapy remains to be crucial step of management for ST elevation myocardial infarction (STEMI), as elevation on a 12-lead electrocardiogram (ECG) is considered as a result of coronary occlusion or critical stenosis. At the same time, nearly 10 – 25 % of non-STEMI patients, according to coronary angiography, do have occlusion or critical stenosis of major epicardial vessel. Reperfusion delays in this case lead to worse outcomes. Although criteria for STEMI equivalents briefly mentioned in the current recommendations, data on those specific ECG patterns are lacking. By searching MEDLINE and EMBASE was conducted a structured review of non-STEMI patterns, connected with critical stenosis or occlusion, the sensitivity and specificity data was also provided. It is hard to overestimate the clinical significance of revealing high risk patients in the absence of classical STEMI in the emergency department or the pre-hospital setting.