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Intermediate Technical IVT

ST-segment elevation

Electrocardiographic finding indicating acute transmural myocardial ischemia, diagnostic criterion for STEMI when meeting voltage thresholds.

Full Definition

ST-segment elevation refers to the upward displacement of the ST segment on a 12-lead electrocardiogram, indicating acute transmural myocardial ischemia typically caused by complete coronary artery occlusion. Diagnostic criteria require ≥1 mm elevation in two contiguous limb leads or ≥2 mm elevation in two contiguous precordial leads. In cardiovascular research, ST-segment elevation serves as both a diagnostic criterion for patient enrollment and an outcome measure for reperfusion therapy efficacy. Studies often analyze ST-segment resolution as a marker of successful reperfusion. Editors should verify that diagnostic criteria and measurement protocols are consistent with current guidelines.

Usage

Usage note: Hyphenate compound terms. Specify voltage thresholds and lead requirements when used as diagnostic criteria.

In Context

  • "Patients with ≥2 mm ST-segment elevation in leads V2-V4 were enrolled in the anterior STEMI cohort." — ECG criteria specification
  • "Complete ST-segment resolution occurred in 73% of patients 90 minutes post-PCI." — Reperfusion success assessment

Also known as

STE ST elevation

Contrasted with

ST-segment depression normal ST segment

Don't confuse with

ST-segment depression T-wave elevation early repolarization

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