ST segments concordant
German translation: konkordante ST-Strecke
| 00:21 Feb 22, 2022 |
| English to German translations [PRO] Medical - Medical: Cardiology | |||||||
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|  Selected response from: Marga Shaw United Kingdom Local time: 07:57 | ||||||
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| 4 | konkordante ST-Strecke |
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| 3 | unauffällige ST-Strecken / keine (auffälligen) ST-Streckenveränderungen |
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| Summary of reference entries provided | |||
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| übereinstimmende ST Segmente oder Strecken |
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| meaning |
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| Discussion entries: 9 | |
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Answers
10 hrs confidence: 
unauffällige ST-Strecken / keine (auffälligen) ST-Streckenveränderungen Explanation: This is what I'd normally expect in a German cardiology report. This ECG seems to be unremarkable overall. See also https://www.proz.com/kudoz/german-to-english/medical-cardiol... and https://www.proz.com/kudoz/german-to-english/medical-cardiol... |
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2 days 11 hrs confidence:
| st segments concordant konkordante ST-Strecke Explanation: auch: konkordantes ST-Segment Sgarbossa A: konkordante ST-Segment Elevation > 1 mm in zumindest einer Ableitung (5 Punkte) oder Sgarbossa B: konkordante ST-Segment Depression von mindestens 1 mm in Ableitung V1, V2 oder V3 (3 Punkte) https://foamina.blog/2015/05/25/stemi-bei-linksschenkelblock... Modifizierte Sgarbossa-Kriterien: Ermöglichen Diagnose eines STEMI bei Linksschenkelblock [16] Ansatz: Konkordanz der ST-Streckenveränderungen Diagnose eines STEMI: Sobald eines der folgenden drei Kriterien positiv ausfällt Konkordante ST-Hebung ≥1 mm ST-Senkung ≥1 mm in V1-V3 Diskordante exzessive ST-Hebung ≥25% vom S und ≥1 mm (bzw. ST-Streckenhebung ≥5 mm in Ableitungen mit einem negativen QRS-Komplex) https://www-amboss-com.db.rsu.lv/de/wissen/Myokardinfarkt/ Please also see my Discussion Entries above. |
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Reference comments
2 hrs |
| Reference: übereinstimmende ST Segmente oder Strecken Reference information: EKG für Rettungsdienst und Notfallmedizin https://books.google.com › books· Matthias Jahn, Frank Löwe · 2019 · Medical MERKE konkordant = übereinstimmend Kammerkomplex und T-Welle sind konkordant. ... der Übergangspunkt vom Ende des Kammerkomplexes zum Beginn der ST-Strecke. |
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10 hrs |
| Reference: meaning Reference information: Sgarbossa criteria | Learn the Heart - Healiohttps://www.healio.com › cardiology-review › topic-reviews Sgarbossa Criteria · ST elevation > 1 mm and ****in the same direction (concordant) with the QRS complex***. 5 points · ST depression > 1 mm in leads V1, V2, or V3. 3 ... -------------------------------------------------- Note added at 10 hrs (2022-02-22 10:49:32 GMT) -------------------------------------------------- STEMI in the Presence of LBBB | Emergency Physicians Monthlyhttps://epmonthly.com › article › stemi-in-the-presence-... ***“Concordance” (ST segment in the same direction as the QRS)*** is abnormal ... of discordant ST elevation to be positive for the “unweighted” Sgarbossa rule. -------------------------------------------------- Note added at 10 hrs (2022-02-22 10:51:05 GMT) -------------------------------------------------- LBBB in Patients With Suspected MI: An Evolving Paradigmhttps://www.acc.org › articles › 2017/02/28 › lbbb-in-p... 28 Feb 2017 — Among stable patients, ECG analysis to assess for ****ST-segment concordance ****criteria, along with serial cardiac biomarker testing and bedside ... -------------------------------------------------- Note added at 15 hrs (2022-02-22 16:21:30 GMT) -------------------------------------------------- LBBB: is there STEMI? - Dr. Smith's ECG Bloghttp://hqmeded-ecg.blogspot.com › 2011/05 › lbbb-is-t... 21 May 2011 — Concordance: ST segment is in the same direction as the majority of the QRS Discordance: ST segment is in the opposite direction to the ... -------------------------------------------------- Note added at 16 hrs (2022-02-22 16:25:01 GMT) -------------------------------------------------- https://www.acc.org/latest-in-cardiology/articles/2017/02/28... The most widely accepted tools to aid in the diagnosis of MI in the presence of LBBB are the Sgarbossa criteria. Sgarbossa et al.1 identified three ECG criteria that may improve the diagnosis of MI in patients with LBBB: ST-elevation of ≥1 mm and concordant with the QRS complex (5 points) ST-segment depression ≥1 mm in lead V1, V2, or V3 (3 points) ST elevation ≥5 mm and discordant with the QRS complex (2 points) ST-segment concordance with the QRS complex has a specificity approaching 98% but with limited sensitivity (~20%) (Table 1).5 Thus, the Sgarbossa criteria are informative if present but not reassuring if absent and cannot be used to exclude MI. -------------------------------------------------- Note added at 16 hrs (2022-02-22 16:30:37 GMT) -------------------------------------------------- https://www.nejm.org/doi/full/10.1056/nejm199602223340801 RESULTS Of 26,003 North American patients, 131 (0.5 percent) with acute myocardial infarction had left bundle-branch block. ***The three electrocardiographic criteria with independent value in the diagnosis of acute infarction in these patients were ST-segment elevation of 1 mm or more that was concordant with (in the same direction as) the QRS complex****; ST-segment depression of 1 mm or more in lead V1, V2, or V3; and ST-segment elevation of 5 mm or more that was discordant with (in the opposite direction from) the QRS complex. We used these three criteria to develop a scoring system (0 to 5), which allowed a highly specific diagnosis of acute myocardial infarction to be made. -------------------------------------------------- Note added at 16 hrs (2022-02-22 16:35:23 GMT) -------------------------------------------------- https://epmonthly.com/article/stemi-in-the-presence-of-lbbb/ ****The diagnosis of STEMI in LBBB*** is dependent on the “Rule of Appropriate Discordance,” which means that, in normal LBBB (without MI), the ST segment (and usually T-wave) are in the opposite direction (discordant to) the majority of the QRS. ****“Concordance” (ST segment in the same direction as the QRS) is abnormal and indicates STEMI.**** Sgarbossa and others have found high specificity of an ST segment that is concordant to the QRS. -------------------------------------------------- Note added at 16 hrs (2022-02-22 16:36:33 GMT) -------------------------------------------------- So, based on the above evidence I don't think it is "unremarkable". Concordance indicates STEMI. -------------------------------------------------- Note added at 16 hrs (2022-02-22 16:39:38 GMT) -------------------------------------------------- and the above is possible with a HR of 70 bpm see: False-positive ST-segment elevation | European Heart Journalhttps://academic.oup.com › ehjcr › article by V Sudmantaitė · 2020 · Cited by 3 — A 12-lead ECG (Figure 1) revealed a heart rate of 70 b.p.m. and an ST-segment elevation (1 mm) in leads II, III, aVF, and V1–V6. |
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