Is ST-segment elevation serious?

Dec 06, 2022 Source: Cainiu Health
Dr. Tian Hongbo
Introduction
ST-segment elevation on an electrocardiogram is generally considered serious. ST-segment elevation refers to a phenomenon observed during electrocardiography in which the electrical activity of the heart during ventricular contraction and relaxation exceeds normal levels. This elevation directly affects cardiac function and may result from certain heart diseases, potentially impairing blood supply to the heart and the myocardium's contractile capacity.

ST segment elevation on electrocardiogram (ECG) is generally considered relatively serious.

ST segment elevation refers to a phenomenon observed during ECG examination in which the ST segment exceeds normal levels during ventricular contraction and relaxation. This elevation can directly affect cardiac function, possibly due to underlying heart diseases, and may impair blood supply to the heart and myocardial contractility.

The normal ST segment is mostly aligned with the isoelectric line. In healthy adults, ST segment elevation up to 0.2 mV or higher may be seen in leads V1–V3, with greater elevation typically observed in males than in females. In other leads, ST segment elevation should not exceed 0.1 mV. Early repolarization may cause upwardly concave ST segment elevation, particularly in leads V2–V5, II, III, and aVF; this pattern is mostly considered a normal variant. Myocardial injury typically manifests as ST segment elevation in leads facing the injured myocardium. When there is epicardial myocardial injury, the ST vector points toward the epicardial surface, resulting in ST segment elevation.

Patients with ST segment elevation on ECG are advised to avoid excessive fatigue and intense physical activity, refrain from staying up late, and ensure adequate sleep.

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