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The ECG in acute coronary syndromes: new tricks from an old dog
  1. H S Gurm,
  2. E J Topol
  1. The Department of Cardiovascular Medicine, The Cleveland Clinic Foundation, Cleveland, Ohio, USA
  1. Correspondence to:
    Eric J Topol MD
    Department of Cardiovascular Medicine, Cleveland Clinic Foundation, Cleveland, OH 44195 USA;


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

  • 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
  • acute coronary syndromes
  • ECG
  • myocardial infarction

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  • We have no relevant competing interests to disclose with regard to this manuscript.

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