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ST segment elevation

MedGen UID:
99256
Concept ID:
C0520886
Finding
Synonyms: ST Elevation; ST elevation; ST Segment Elevation; ST Segment Elevation by ECG Finding; ST Segment Elevation by EKG Finding
SNOMED CT: ST segment elevation (76388001); ST elevation (164931005)
 
HPO: HP:0012251

Definition

An electrocardiographic anomaly in which the ST segment is observed to be located superior to the isoelectric line. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVST segment elevation

Conditions with this feature

Lethal congenital glycogen storage disease of heart
MedGen UID:
337919
Concept ID:
C1849813
Disease or Syndrome
A rare glycogen storage disease with fetal or neonatal onset of severe cardiomyopathy with non-lysosomal glycogen accumulation and fatal outcome in infancy. Patients present with massive cardiomegaly, severe cardiac and respiratory complications and failure to thrive. Non-specific facial dysmorphism, bilateral cataracts, macroglossia, hydrocephalus, enlarged kidneys and skeletal muscle involvement have been reported in some cases.
Brugada syndrome 5
MedGen UID:
411607
Concept ID:
C2748541
Disease or Syndrome
Brugada syndrome is characterized by cardiac conduction abnormalities (ST segment abnormalities in leads V1-V3 on EKG and a high risk for ventricular arrhythmias) that can result in sudden death. Brugada syndrome presents primarily during adulthood, although age at diagnosis may range from infancy to late adulthood. The mean age of sudden death is approximately 40 years. Clinical presentations may also include sudden infant death syndrome (SIDS; death of a child during the first year of life without an identifiable cause) and sudden unexpected nocturnal death syndrome (SUNDS), a typical presentation in individuals from Southeast Asia. Other conduction defects can include first-degree AV block, intraventricular conduction delay, right bundle branch block, and sick sinus syndrome.
Brugada syndrome 8
MedGen UID:
413928
Concept ID:
C2751083
Disease or Syndrome
Brugada syndrome is characterized by cardiac conduction abnormalities (ST segment abnormalities in leads V1-V3 on EKG and a high risk for ventricular arrhythmias) that can result in sudden death. Brugada syndrome presents primarily during adulthood, although age at diagnosis may range from infancy to late adulthood. The mean age of sudden death is approximately 40 years. Clinical presentations may also include sudden infant death syndrome (SIDS; death of a child during the first year of life without an identifiable cause) and sudden unexpected nocturnal death syndrome (SUNDS), a typical presentation in individuals from Southeast Asia. Other conduction defects can include first-degree AV block, intraventricular conduction delay, right bundle branch block, and sick sinus syndrome.
Brugada syndrome 7
MedGen UID:
413472
Concept ID:
C2751088
Disease or Syndrome
Brugada syndrome is characterized by cardiac conduction abnormalities (ST segment abnormalities in leads V1-V3 on EKG and a high risk for ventricular arrhythmias) that can result in sudden death. Brugada syndrome presents primarily during adulthood, although age at diagnosis may range from infancy to late adulthood. The mean age of sudden death is approximately 40 years. Clinical presentations may also include sudden infant death syndrome (SIDS; death of a child during the first year of life without an identifiable cause) and sudden unexpected nocturnal death syndrome (SUNDS), a typical presentation in individuals from Southeast Asia. Other conduction defects can include first-degree AV block, intraventricular conduction delay, right bundle branch block, and sick sinus syndrome.
Brugada syndrome 6
MedGen UID:
413473
Concept ID:
C2751089
Disease or Syndrome
Brugada syndrome is characterized by cardiac conduction abnormalities (ST segment abnormalities in leads V1-V3 on EKG and a high risk for ventricular arrhythmias) that can result in sudden death. Brugada syndrome presents primarily during adulthood, although age at diagnosis may range from infancy to late adulthood. The mean age of sudden death is approximately 40 years. Clinical presentations may also include sudden infant death syndrome (SIDS; death of a child during the first year of life without an identifiable cause) and sudden unexpected nocturnal death syndrome (SUNDS), a typical presentation in individuals from Southeast Asia. Other conduction defects can include first-degree AV block, intraventricular conduction delay, right bundle branch block, and sick sinus syndrome.
Glycogen storage disease XV
MedGen UID:
462104
Concept ID:
C3150754
Disease or Syndrome
Glycogen storage disease type 15 is an extremely rare genetic glycogen storage disease reported in one patient to date. Clinical signs included muscle weakness, cardiac arrhythmia associated with accumulation of abnormal storage material in the heart and glycogen depletion in skeletal muscle.
Atrial fibrillation, familial, 14
MedGen UID:
815642
Concept ID:
C3809312
Disease or Syndrome
Atrial fibrillation is the most common sustained cardiac rhythm disturbance, affecting more than 2 million Americans, with an overall prevalence of 0.89%. The prevalence increases rapidly with age, to 2.3% between the ages of 40 and 60 years, and to 5.9% over the age of 65. The most dreaded complication is thromboembolic stroke (Brugada et al., 1997). For a discussion of genetic heterogeneity of familial atrial fibrillation, see ATFB1 (608583).
Brugada syndrome 9
MedGen UID:
903155
Concept ID:
C4225340
Disease or Syndrome
Brugada syndrome is characterized by cardiac conduction abnormalities (ST segment abnormalities in leads V1-V3 on EKG and a high risk for ventricular arrhythmias) that can result in sudden death. Brugada syndrome presents primarily during adulthood, although age at diagnosis may range from infancy to late adulthood. The mean age of sudden death is approximately 40 years. Clinical presentations may also include sudden infant death syndrome (SIDS; death of a child during the first year of life without an identifiable cause) and sudden unexpected nocturnal death syndrome (SUNDS), a typical presentation in individuals from Southeast Asia. Other conduction defects can include first-degree AV block, intraventricular conduction delay, right bundle branch block, and sick sinus syndrome.

Professional guidelines

PubMed

Bhatt DL, Lopes RD, Harrington RA
JAMA 2022 Feb 15;327(7):662-675. doi: 10.1001/jama.2022.0358. PMID: 35166796
Collet JP, Thiele H, Barbato E, Barthélémy O, Bauersachs J, Bhatt DL, Dendale P, Dorobantu M, Edvardsen T, Folliguet T, Gale CP, Gilard M, Jobs A, Jüni P, Lambrinou E, Lewis BS, Mehilli J, Meliga E, Merkely B, Mueller C, Roffi M, Rutten FH, Sibbing D, Siontis GCM; ESC Scientific Document Group
Eur Heart J 2021 Apr 7;42(14):1289-1367. doi: 10.1093/eurheartj/ehaa575. PMID: 32860058
Ibanez B, James S, Agewall S, Antunes MJ, Bucciarelli-Ducci C, Bueno H, Caforio ALP, Crea F, Goudevenos JA, Halvorsen S, Hindricks G, Kastrati A, Lenzen MJ, Prescott E, Roffi M, Valgimigli M, Varenhorst C, Vranckx P, Widimský P; ESC Scientific Document Group
Eur Heart J 2018 Jan 7;39(2):119-177. doi: 10.1093/eurheartj/ehx393. PMID: 28886621

Recent clinical studies

Etiology

Frampton J, Ortengren AR, Zeitler EP
Yale J Biol Med 2023 Mar;96(1):83-94. Epub 2023 Mar 31 doi: 10.59249/LSWK8578. PMID: 37009192Free PMC Article
Mitsis A, Gragnano F
Curr Cardiol Rev 2021;17(4):e230421189013. doi: 10.2174/1573403X16999201210195702. PMID: 33305709Free PMC Article
Ibanez B, James S, Agewall S, Antunes MJ, Bucciarelli-Ducci C, Bueno H, Caforio ALP, Crea F, Goudevenos JA, Halvorsen S, Hindricks G, Kastrati A, Lenzen MJ, Prescott E, Roffi M, Valgimigli M, Varenhorst C, Vranckx P, Widimský P; ESC Scientific Document Group
Eur Heart J 2018 Jan 7;39(2):119-177. doi: 10.1093/eurheartj/ehx393. PMID: 28886621
Birnbaum Y, Wilson JM, Fiol M, de Luna AB, Eskola M, Nikus K
Ann Noninvasive Electrocardiol 2014 Jan;19(1):4-14. Epub 2013 Dec 30 doi: 10.1111/anec.12130. PMID: 24382164Free PMC Article
Smith SW, Dodd KW, Henry TD, Dvorak DM, Pearce LA
Ann Emerg Med 2012 Dec;60(6):766-76. Epub 2012 Aug 31 doi: 10.1016/j.annemergmed.2012.07.119. PMID: 22939607

Diagnosis

Atwood J
Emerg Med Clin North Am 2022 Nov;40(4):693-706. doi: 10.1016/j.emc.2022.06.008. PMID: 36396216
Mitsis A, Gragnano F
Curr Cardiol Rev 2021;17(4):e230421189013. doi: 10.2174/1573403X16999201210195702. PMID: 33305709Free PMC Article
Birnbaum Y, Wilson JM, Fiol M, de Luna AB, Eskola M, Nikus K
Ann Noninvasive Electrocardiol 2014 Jan;19(1):4-14. Epub 2013 Dec 30 doi: 10.1111/anec.12130. PMID: 24382164Free PMC Article
Smith SW, Dodd KW, Henry TD, Dvorak DM, Pearce LA
Ann Emerg Med 2012 Dec;60(6):766-76. Epub 2012 Aug 31 doi: 10.1016/j.annemergmed.2012.07.119. PMID: 22939607
Nable JV, Brady W
Am J Emerg Med 2009 Jul;27(6):734-46. doi: 10.1016/j.ajem.2008.05.025. PMID: 19751632

Therapy

Warach SJ, Dula AN, Milling TJ Jr
Stroke 2020 Nov;51(11):3440-3451. Epub 2020 Oct 13 doi: 10.1161/STROKEAHA.120.029749. PMID: 33045929Free PMC Article
Ge J, Schäfer A, Ertl G, Nordbeck P
Circ Cardiovasc Interv 2017 Oct;10(10) doi: 10.1161/CIRCINTERVENTIONS.117.005739. PMID: 29042400
Ibáñez B, Heusch G, Ovize M, Van de Werf F
J Am Coll Cardiol 2015 Apr 14;65(14):1454-71. doi: 10.1016/j.jacc.2015.02.032. PMID: 25857912
Yeh RW, Jang IK
Am Heart J 2006 Jun;151(6):1131-8. doi: 10.1016/j.ahj.2005.09.002. PMID: 16781211
Keeley EC, Boura JA, Grines CL
Lancet 2003 Jan 4;361(9351):13-20. doi: 10.1016/S0140-6736(03)12113-7. PMID: 12517460

Prognosis

Xenogiannis I, Vemmou E, Nikolakopoulos I, Nowariak ME, Schmidt CW, Brilakis ES, Sharkey SW
J Electrocardiol 2022 Nov-Dec;75:60-65. Epub 2022 Sep 24 doi: 10.1016/j.jelectrocard.2022.09.009. PMID: 36202658
Liao BY, Lee MAW, Dicker B, Todd VF, Stewart R, Poppe K, Kerr A
Open Heart 2022 Jan;9(1) doi: 10.1136/openhrt-2021-001868. PMID: 35086917Free PMC Article
Scholz KH, Meyer T, Lengenfelder B, Vahlhaus C, Tongers J, Schnupp S, Burckhard R, von Beckerath N, Grusnick HM, Jeron A, Winter KD, Maier SKG, Danner M, Vom Dahl J, Neef S, Stefanow S, Friede T
Open Heart 2021 May;8(1) doi: 10.1136/openhrt-2021-001650. PMID: 33958491Free PMC Article
Faroux L, Lhermusier T, Vincent F, Nombela-Franco L, Tchétché D, Barbanti M, Abdel-Wahab M, Windecker S, Auffret V, Campanha-Borges DC, Fischer Q, Muñoz-Garcia E, Trillo-Nouche R, Jorgensen T, Serra V, Toggweiler S, Tarantini G, Saia F, Durand E, Donaint P, Gutierrez-Ibanes E, Wijeysundera HC, Veiga G, Patti G, D'Ascenzo F, Moreno R, Hengstenberg C, Chamandi C, Asmarats L, Hernandez-Antolin R, Gomez-Hospital JA, Cordoba-Soriano JG, Landes U, Jimenez-Diaz VA, Cruz-Gonzalez I, Nejjari M, Roubille F, Van Belle É, Armijo G, Siddiqui S, Costa G, Elsaify S, Pilgrim T, le Breton H, Urena M, Muñoz-Garcia AJ, Sondergaard L, Bach-Oller M, Fraccaro C, Eltchaninoff H, Metz D, Tamargo M, Fradejas-Sastre V, Rognoni A, Bruno F, Goliasch G, Santaló-Corcoy M, Jimenez-Mazuecos J, Webb JG, Muntané-Carol G, Paradis JM, Mangieri A, Ribeiro HB, Campelo-Parada F, Rodés-Cabau J
J Am Coll Cardiol 2021 May 4;77(17):2187-2199. doi: 10.1016/j.jacc.2021.03.014. PMID: 33926655
Saw J, Humphries K, Aymong E, Sedlak T, Prakash R, Starovoytov A, Mancini GBJ
J Am Coll Cardiol 2017 Aug 29;70(9):1148-1158. doi: 10.1016/j.jacc.2017.06.053. PMID: 28838364

Clinical prediction guides

Camaro C, Aarts GWA, Adang EMM, van Hout R, Brok G, Hoare A, Rodwell L, de Pooter F, de Wit W, Cramer GE, van Kimmenade RRJ, Damman P, Ouwendijk E, Rutten M, Zegers E, van Geuns RM, Gomes MER, van Royen N
Eur Heart J 2023 May 14;44(19):1705-1714. doi: 10.1093/eurheartj/ehad056. PMID: 36755110Free PMC Article
Merenciano-González H, Marcos-Garcés V, Gavara J, Pedro-Tudela A, Lopez-Lereu MP, Monmeneu JV, Perez N, Rios-Navarro C, de Dios E, Gabaldón-Pérez A, Albiach C, Racugno P, Bonanad C, Canoves J, Chorro FJ, Bodi V
Sci Rep 2022 Dec 17;12(1):21813. doi: 10.1038/s41598-022-26082-5. PMID: 36528716Free PMC Article
Choi KH, Dai N, Li Y, Kim J, Shin D, Lee SH, Joh HS, Kim HK, Jeon KH, Ha SJ, Kim SM, Jang MJ, Park TK, Yang JH, Song YB, Hahn JY, Doh JH, Shin ES, Choi SH, Gwon HC, Lee JM
JACC Cardiovasc Interv 2021 Aug 9;14(15):1670-1684. doi: 10.1016/j.jcin.2021.05.027. PMID: 34353599
Frank M, Sanders C, Berry BP
Emerg Med Pract 2021 Jan;23(1):1-28. Epub 2021 Jan 1 PMID: 33320487
Cusmà-Piccione M, Longobardo L, Oteri A, Manganaro R, Di Bella G, Carerj S, Khandheria BK, Zito C
J Cardiovasc Med (Hagerstown) 2018 Nov;19(11):624-632. doi: 10.2459/JCM.0000000000000707. PMID: 30234685

Recent systematic reviews

Faro DC, Laudani C, Agnello FG, Ammirabile N, Finocchiaro S, Legnazzi M, Mauro MS, Mazzone PM, Occhipinti G, Rochira C, Scalia L, Spagnolo M, Greco A, Capodanno D
JACC Cardiovasc Interv 2023 Oct 9;16(19):2347-2364. doi: 10.1016/j.jcin.2023.07.043. PMID: 37821180
Groenland FTW, Neleman T, Kakar H, Scoccia A, Ziedses des Plantes AC, Clephas PRD, Chatterjee S, Zhu M, den Dekker WK, Diletti R, Zijlstra F, Mahmoud KD, Van Mieghem NM, Daemen J
Int J Cardiol 2022 Apr 15;353:35-42. Epub 2022 Jan 15 doi: 10.1016/j.ijcard.2022.01.021. PMID: 35041893
Diaz-Arocutipa C, Torres-Valencia J, Saucedo-Chinchay J, Cuevas C
J Thromb Thrombolysis 2021 Oct;52(3):738-745. Epub 2021 Mar 1 doi: 10.1007/s11239-021-02411-9. PMID: 33646500Free PMC Article
Yang MC, Meng-Jun W, Xiao-Yan X, Peng KL, Peng YG, Wang RR
Medicine (Baltimore) 2020 Oct 9;99(41):e22197. doi: 10.1097/MD.0000000000022197. PMID: 33031262Free PMC Article
Bainey KR, Engstrøm T, Smits PC, Gershlick AH, James SK, Storey RF, Wood DA, Mehran R, Cairns JA, Mehta SR
JAMA Cardiol 2020 Aug 1;5(8):881-888. doi: 10.1001/jamacardio.2020.1251. PMID: 32432651Free PMC Article

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