Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
|
pubmed:dateCreated |
1991-5-10
|
pubmed:abstractText |
To clarify the clinical significance of the negative U wave during acute myocardial ischemia, the appearance of the U wave and ST-segment elevation on electrocardiography during percutaneous transluminal coronary angioplasty (PTCA) of the left anterior descending artery (LAD group: 11 patients) or right coronary artery (RCA group: 18 patients) was studied. During PTCA, U-wave inversion (newly developed negative U wave, and increased negativity of the pre-existing negative U wave) was observed in 37 (90%) of 41 patients in the LAD group and in 16 (89%) of 18 patients in the RCA group. The incidence of ST-segment elevation was similar to that of U-wave inversion; however, U-wave inversion appeared before detectable ST-segment elevation in 20 patients (49%) in the LAD group and in 4 patients (22%) in the RCA group. Moreover, U-wave inversion was observed frequently in a wider range of leads than ST-segment elevation. These results suggest that the U wave is a more sensitive indicator of myocardial ischemia than ST-segment elevation in some patients, and that a negative U wave may be produced by a different mechanism than that which produces ST-segment deviation, although both are related to myocardial ischemia.
|
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:status |
MEDLINE
|
pubmed:month |
Mar
|
pubmed:issn |
0160-9289
|
pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
14
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
232-6
|
pubmed:dateRevised |
2010-11-18
|
pubmed:meshHeading |
pubmed-meshheading:2013180-Angioplasty, Balloon, Coronary,
pubmed-meshheading:2013180-Balloon Dilation,
pubmed-meshheading:2013180-Cineradiography,
pubmed-meshheading:2013180-Coronary Angiography,
pubmed-meshheading:2013180-Coronary Disease,
pubmed-meshheading:2013180-Coronary Vessels,
pubmed-meshheading:2013180-Electrocardiography,
pubmed-meshheading:2013180-Electrodes,
pubmed-meshheading:2013180-Female,
pubmed-meshheading:2013180-Humans,
pubmed-meshheading:2013180-Incidence,
pubmed-meshheading:2013180-Male,
pubmed-meshheading:2013180-Middle Aged,
pubmed-meshheading:2013180-Sensitivity and Specificity
|
pubmed:year |
1991
|
pubmed:articleTitle |
Negative U wave during percutaneous transluminal coronary angioplasty.
|
pubmed:affiliation |
Department of Cardiology, Komatsushima Red Cross Hospital, Tokushima, Japan.
|
pubmed:publicationType |
Journal Article,
Comparative Study
|