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European Heart Journal Advance Access originally published online on December 7, 2005
European Heart Journal 2006 27(3):249-250; doi:10.1093/eurheartj/ehi680
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© The European Society of Cardiology 2005. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Do we need continuous ECG monitoring in patients transferred for primary angioplasty?

Yamil Wady Aude1,2 and Jawahar L. Mehta1,2,*

1Department of Internal Medicine, University of Arkansas for Medical Sciences and the Central Arkansas Veterans Healthcare System, Little Rock, AR, USA
2Department of Physiology and Biophysics, Division of Cardiovascular Medicine, University of Arkansas for Medical Sciences and the Central Arkansas Veterans Healthcare System, 4301 West Markham Street, Mail Slot 532, Little Rock, AR 72205-7199, USA

* Corresponding author. Tel: +1 501 296 1401; fax: +1 501 686 6180. E-mail address: mehtajl@uams.edu

This editorial refers to ‘Potential significance of spontaneous and interventional ST-changes in patients transferred for primary percutaneous coronary intervention: observations from the ST-MONitoring in Acute Myocardial Infarction study (The MONAMI study)’{dagger} by C.J. Terkelsen et al., on page 267

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The primary goal in patients with acute ST-elevation myocardial infarction (STEMI) is prompt restoration of blood flow. The current guidelines for the treatment of patients with STEMI include primary angioplasty with the goal of medical contact-to-balloon or door-to-balloon time of 90 min or less.1 This is based on the findings of a reduction in mortality in inverse relationship with the time to reperfusion.2 However, early revascularization does not guarantee optimal myocardial perfusion in patients undergoing primary angioplasty. In some patients, myocardial perfusion remains impaired despite the restoration of TIMI 3 flow, as demonstrated angiographically by TIMI frame count3 and myocardial perfusion blush.4 These patients have adverse outcome. In contrast, reversal of ST-segment on . . . [Full Text of this Article]


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Related articles in EHJ:

Potential significance of spontaneous and interventional ST-changes in patients transferred for primary percutaneous coronary intervention: observations from the ST-MONitoring in Acute Myocardial Infarction study (The MONAMI study)
Christian Juhl Terkelsen, Bjarne Linde Nørgaard, Jens Flensted Lassen, Steen Hvitfeldt Poulsen, Jens Christian Gerdes, Erik Sloth, Liv Bjørn-Hansen Gøtzsche, Frode Kirketerp Rømer, Leif Thuesen, Torsten Toftegaard Nielsen, and Henning Rud Andersen
EHJ 2006 27: 267-275. [Abstract] [FREE Full Text]