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Heart 2005;91:851-853; doi:10.1136/hrt.2004.047258
Copyright © 2005 BMJ Publishing Group Ltd & British Cardiovascular Society
Heart 2005;91:851-853
© 2005 by BMJ Publishing Group & British Cardiac Society

EDITORIAL

The ECG in acute coronary syndromes: new tricks from an old dog

H S Gurm, E J Topol

The Department of Cardiovascular Medicine, The Cleveland Clinic Foundation, Cleveland, Ohio, USA

Correspondence to:
Correspondence to:
Eric J Topol MD
Department of Cardiovascular Medicine, Cleveland Clinic Foundation, Cleveland, OH 44195 USA; topole{at}ccf.org

ABSTRACT

The ECG remains the pre-eminent test for myocardial ischaemia, directing therapeutic management and prognostic stratification.

Abbreviations: ACS, acute coronary syndromes; CABG, coronary artery bypass graft surgery; FRISC-II, fast revascularization during instability in coronary artery disease; GUSTO, global use of strategies to open occluded coronary arteries; NSTEMI, non-ST elevation myocardial infarction; PARAGON-B, platelet IIb/IIIa antagonism for the reduction of acute coronary syndrome events in a global organization network; PCI, percutaneous coronary intervention; RESTART, resolution of ST segment after reperfusion therapy; RITA 3, randomized intervention trial of unstable angina; STEMI, ST elevation myocardial infarction; TACTICS-TIMI-18, treat angina with Aggrastat and determine cost of therapy with an invasive or conservative strategy; TIMI, thrombolysis in myocardial infarction

Keywords: acute coronary syndromes; ECG; myocardial infarction


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