What indicates myocardial ischemia on ECG?

The most common ECG sign of myocardial ischemia is flat or down-sloping ST-segment depression of 1.0 mm or greater. This report draws attention to other much less common, but possibly equally important, ECG manifestations of myocardial ischemia.

Can cardiac ischemia be detected on ECG?

The stress-ECG is the most often adopted and most cost effective initial diagnostic test for the assessment of myocardial ischemia in patients with suspected coronary artery disease (CAD).

How can you tell ECG cardiac arrest?

Several electrocardiographic-based methods of risk stratification of sudden cardiac arrest have been studied, including QT prolongation, QRS duration, fragmented QRS complexes, early repolarization, Holter monitoring, heart rate variability, heart rate turbulence, signal-averaged ECG, T wave alternans, and T-peak to T- …

How do I know if I have myocardial ischemia?


  1. Neck or jaw pain.
  2. Shoulder or arm pain.
  3. A fast heartbeat.
  4. Shortness of breath when you are physically active.
  5. Nausea and vomiting.
  6. Sweating.
  7. Fatigue.

How is myocardial ischemia diagnosed?


  1. Electrocardiogram (ECG). Electrodes attached to your skin record the electrical activity of your heart.
  2. Stress test.
  3. Echocardiogram.
  4. Stress echocardiogram.
  5. Nuclear stress test.
  6. Coronary angiography.
  7. Cardiac CT scan.

Can cardiac arrest be predicted?

Despite the multiplicity of factors known to be related to an increased risk of sudden cardiac death, the only clinical practice currently used to predict such an event is the measurement of left ventricular ejection fraction.

What is the difference between myocardial infarction and cardiac arrest?

“A heart attack, technically called a myocardial infarction or MI, happens when there is a blockage that prevents the oxygen-rich blood from getting to the heart,” explains William Harris III, M.D., a cardiologist with Riverside Cardiology Specialists. “Cardiac arrest is when the heart suddenly stops functioning.

What are the cardiac arrest rhythms?

There are four possible electrocardiographic rhythms in cardiac arrest: ventricular fibrillation (VF), pulseless ventricular tachycardia (VT), pulseless electrical activity (PEA), and asystole. VF is a disorganized electrical activity, while a pulseless VT produces an organized electrical activity.

What happens in a cardiac arrest?

A cardiac arrest is when your heart suddenly stops pumping blood around your body. When your heart stops pumping blood, your brain is starved of oxygen. This causes you to fall unconscious and stop breathing.

What tests confirm a diagnosis of myocardial infarction?

Tests to diagnose a heart attack include:

  • Electrocardiogram (ECG). This first test done to diagnose a heart attack records electrical signals as they travel through your heart.
  • Blood tests. Certain heart proteins slowly leak into your blood after heart damage from a heart attack.