The myocardial infarction size measuring using modern methods

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An accurate quantitative assessment of myocardium necrosis area and the viable zone (stunned and hibernating) in patients with myocardial infarction is crucial for the preoperative patient selection and predicting the cardiac surgery effectiveness. Currently, researchers and clinicians are most interested in the problem of determining the viable myocardium zone. However, only the necrosis zone area directly correlates with the patient’s prognosis and determines the heart pathological remodeling processes. In the distant period, the data obtained can be used to predict the post-infarction period course or for analysis the relationship of the necrosis zone with arrhythmogenesis, and a number of other indicators. Thus, the necrosis zone and the viable myocardium zone are two parameters that need to be monitored in dynamics in all patients after myocardial infarction. The most accurate and reproducible method for determining the necrosis area is contrast magnetic resonance imaging of the heart, however, this technique is still inaccessible in most hospitals. In this regard, it remains relevant to estimate the necrotic myocardium area by ubiquitous non-invasive methods such as electrocardiography and echocardiography.

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About the authors

E. A. Shigotarova

Burdenko Penza Oblast Clinical Hospital

ORCID iD: 0000-0003-4452-2049

Russian Federation, Penza

к.м.н., врач-кардиолог кардиологического отд-ния с палатой реанимации и интенсивной терапии

V. A. Galimskaja

Penza State University

ORCID iD: 0000-0001-7545-8196

Russian Federation, Penza

к.м.н., доц. каф. терапии

A. V. Golubeva

Penza State University

ORCID iD: 0000-0001-6640-6108

Russian Federation, Penza

ассистент каф. терапии

V. E. Oleynikov

Penza State University

Author for correspondence.
ORCID iD: 0000-0002-7463-9259

Russian Federation, Penza

д.м.н., проф., зав. каф. терапии


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Supplementary files

Supplementary Files Action
Stage of ischemia. In the leads with the configuration Rs (leads V1 – V3): stage I - high, symmetrical T waves without elevation of the ST segment; stage II - ST elevation without changing the terminal part of the QRS complex; Stage III - ST elevation with a change in the terminal part of the QRS complex [there is no S wave in leads V1 – V3] (arrow). In leads with qR configuration: stage I - high, symmetrical T waves without ST segment elevation; stage II - ST elevation with a ratio of T.J / R <0.5; stage III - ST elevation with a ratio of T.J / R> 0.5 (arrow) [19].

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