[Evaluation of a standard electrocardiogram in acute myocardial infarct and therapy with thrombolysis].

Electrocardiography the cheapest, quickest and most readily available supportive examination method in patients with acute coronary events is irreplaceable also in the era of thrombolysis. The authors present a review of data from the literature on evaluation of the success of thrombolysis based on the electrocardiogram. They emphasize in the first place the importance of a rapid drop or normalization of the ST segment and/or the presence of so-called reperfusion arrhythmias (in particular an early, frequent, repetitive accelerated idioventricular rhythm). The authors mention also changes of the QRS complex, the T wave and Q-T interval during thrombolytic treatment.