Electrocardiographic Q-Waves inconstancy during thrombolysis in acute anterior wall myocardial infarction

E. Rechavia, A. Blum, A. Mager, Y. Birnbaum, B. Strasberg, S. Sclarovsky

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

It is the purpose of this paper to describe the electrocardiographic inconstancy of Q-waves during administration of thrombolytic therapy. This was documented in four patients given streptokinase early in the course of anterior wall myocardial infarction. Understanding the pathogenesis of sequential dynamic variations of Q-waves in this setting may offer important insights into coronary physiology and management of acute coronary events. We discuss the possible explanations for such changes with respect to tissue viability, dynamic vascular changes and electrophysiological properties of the reperfused infarcted myocardium.

Original languageEnglish
Pages (from-to)392-398
Number of pages7
JournalCardiology
Volume80
Issue number5-6
DOIs
StatePublished - 1992
Externally publishedYes

Keywords

  • Electrocardiogram
  • Myocardial infarction
  • Q-waves
  • Thrombolysis

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