Ian Haywood wrote: > No, subendocardial means you don't get Q-waves, a distinction which > doesn't seem to mean much anymore. non-STEMI in practice is a "biochemical > infarct", > pathologically the area of infarction is too small to detectably alter the > ECG, > however they can still cause fatal arrhythmias. > Medicine is a messy discipline. It keeps changing its axioms.
I believe non-STEMI is a new diagnostic classification that does not necessarily "map into" myocardial infarction. Ian calls it a "biochemical infarct", although the infarction part is not a given. I prefer the definition of "chest symptom thing with raised troponin". Its pathogenesis, treatment and prognosis are being elucidated and mapping may turn out never to be appropriate. David P.S. Is Duncan still around? _______________________________________________ Gpcg_talk mailing list [email protected] http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk
