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Acute myocardial infarction can be defined from a number of different perspectives related to clinical, electrocardiographic, biochemical and pathological characteristic. The electrocardiogram (ECG) is the most important diagnostic tool in the diagnosis of ST-segment elevation myocardial infarction (STEMI), and therefore it should be accomplished immediately at hospital admission. In fact, it represents an important step not only for STEMI diagnosis, but also and more importantly for the therapeutic plan. The present article pertains to electrocadiographic findings in patients affected by persistent STEMI. Moreover, it takes into account the clinical utility of ECG in the diagnosis and therapeutic decisions of evolving STEMI, as well as the prognostic implications of the ECG evolutions in the reperfusion era.

ECG in Acute Myocardial Infarction in the Reperfusion Era