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1 results

  • The Dynamic Nature of ST-Segment and T-Wave Changes During Acute MI

  • Richard A. Harvey, Frederick P. Fuller
  • Journal:
    Prehospital and Disaster Medicine / Volume 12 / Issue 4 / December 1997
    Published online by Cambridge University Press:
    28 June 2012, pp. 80-84
    Print publication:
    December 1997

  • Obtaining aprehospital 12-lead electrocardiogram (ECG) diagnostic of acute myocardial injury has been demonstrated to hasten the administration of thrombolytic agents in the emergency department. This case demonstrates that aprehospital electrocardiogram diagnostic of acute anterior wall infarction can become non-diagnostic following routine administration of oxygen, nitroglycerin, and morphine by paramedics. Although this phenomenon has been observed in the in-hospital setting, it has not been reported in patients with a prehospital ECG.