Ghaemmaghami Chris A, Burt David R
Department of Emergency Medicine, University of Virginia Health System, Charlottesville, 22908-0699, USA.
Emerg Med Clin North Am. 2005 Nov;23(4):1043-63. doi: 10.1016/j.emc.2005.07.014.
The ECG classification of acute myocardial infarctions has had a profound influence on the treatment of patients with AMI. Deciding whether a patient has ST-segment elevations or a new left bundle branch block or neither of these findings on ECG launches the treating physician down two different treatment pathways: patients with ST-elevation MI need to be assessed for immediate re-perfusion therapy, whereas patients with non-ST-elevation MI are best treated with aggressive medical management without acute reperfusion.