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ST segment depression

MedGen UID:
141712
Concept ID:
C0520887
Finding
Synonyms: ST Depression; ST depression; ST Segment Depression; ST Segment Depression by ECG Finding; ST Segment Depression by EKG Finding
SNOMED CT: ST Depression (429622005); ST segment depression (26141007); ST depression (26141007)
 
HPO: HP:0012250

Definition

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

Term Hierarchy

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

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.
Hypertrophic cardiomyopathy 13
MedGen UID:
442487
Concept ID:
C2750472
Disease or Syndrome
Any hypertrophic cardiomyopathy in which the cause of the disease is a mutation in the TNNC1 gene.

Professional guidelines

PubMed

Demandt JPA, Zelis JM, Koks A, Smits GHJM, van der Harst P, Tonino PAL, Dekker LRC, van Het Veer M, Vlaar PJ
BMJ Open 2022 Apr 5;12(4):e057305. doi: 10.1136/bmjopen-2021-057305. PMID: 35383078Free PMC Article
Romero-Farina G, Candell-Riera J, Aguadé-Bruix S, Pizzi MN, García-Dorado D
Int J Cardiol 2016 Sep 15;219:240-6. Epub 2016 Jun 16 doi: 10.1016/j.ijcard.2016.06.042. PMID: 27336193
Hanna EB, Glancy DL
Cleve Clin J Med 2011 Jun;78(6):404-14. doi: 10.3949/ccjm.78a.10077. PMID: 21632912

Recent clinical studies

Etiology

Tomcsányi J, Tomcsányi K
J Electrocardiol 2024 May-Jun;84:109-111. Epub 2024 Apr 13 doi: 10.1016/j.jelectrocard.2024.04.001. PMID: 38631277
Wang X, Han D, Li G
J Int Med Res 2020 Jan;48(1):300060518811058. Epub 2018 Dec 4 doi: 10.1177/0300060518811058. PMID: 30509119Free PMC Article
Romero-Farina G, Candell-Riera J, Aguadé-Bruix S, Pizzi MN, García-Dorado D
Int J Cardiol 2016 Sep 15;219:240-6. Epub 2016 Jun 16 doi: 10.1016/j.ijcard.2016.06.042. PMID: 27336193
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
Gottlieb SO
Eur Heart J 1996 Dec;17 Suppl G:53-8. doi: 10.1093/eurheartj/17.suppl_g.53. PMID: 8960457

Diagnosis

Chen CC, Shao J, Liu Y, Gao Y
BMJ 2023 Sep 14;382:e076079. doi: 10.1136/bmj-2023-076079. PMID: 37709357
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
Hanna EB, Glancy DL
Cleve Clin J Med 2011 Jun;78(6):404-14. doi: 10.3949/ccjm.78a.10077. PMID: 21632912
Gottlieb SO
Eur Heart J 1996 Dec;17 Suppl G:53-8. doi: 10.1093/eurheartj/17.suppl_g.53. PMID: 8960457
Franklin BA, Bonzheim K, Wetherbee S, Gordon S, Timmis GC
Obstet Gynecol Clin North Am 1990 Dec;17(4):817-35. PMID: 2092244

Therapy

Mansouri MH, Mansouri P, Sadeghi M, Hashemi SM, Khosravi A, Behjati M, Shahabi J, Mansouri A, Zavar R, Amirpour A, Sanei H, Sarrafzadegan N
Clin Cardiol 2024 Jan;47(1):e24158. Epub 2023 Sep 18 doi: 10.1002/clc.24158. PMID: 37721420Free PMC Article
Conti CR, Bavry AA, Petersen JW
J Am Coll Cardiol 2012 Jan 31;59(5):435-41. doi: 10.1016/j.jacc.2011.07.050. PMID: 22281245
Reisin LH, Landau E, Darawshi A
Am J Cardiol 1988 Mar 25;61(9):2E-3E. doi: 10.1016/0002-9149(88)90079-3. PMID: 3348136
Southall E, Nutt NR, Thomas RD
J Int Med Res 1982;10(5):361-6. doi: 10.1177/030006058201000509. PMID: 6754509
Oliver MF, Rowe MJ, Luxton MR, Miller NE, Neilson JM
Circulation 1976 Mar;53(3 Suppl):I210-3. PMID: 767017

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
Chaitman BR, Alexander KP, Cyr DD, Berger JS, Reynolds HR, Bangalore S, Boden WE, Lopes RD, Demkow M, Piero Perna G, Riezebos RK, McFalls EO, Banerjee S, Bagai A, Gosselin G, O'Brien SM, Rockhold FW, Waters DD, Thygesen KA, Stone GW, White HD, Maron DJ, Hochman JS; ISCHEMIA Research Group
Circulation 2021 Feb 23;143(8):790-804. Epub 2020 Dec 3 doi: 10.1161/CIRCULATIONAHA.120.047987. PMID: 33267610Free PMC Article
Uthamalingam S, Gurm GS, Ahmado I, Sidhu MS, Flynn J
Angiology 2013 Jan;64(1):46-8. Epub 2012 Feb 8 doi: 10.1177/0003319711436073. PMID: 22323835
Soto JR, Watson DD, Beller GA
Am J Cardiol 2001 Sep 15;88(6):670-2. doi: 10.1016/s0002-9149(01)01812-4. PMID: 11564393
Gottlieb SO
Eur Heart J 1996 Dec;17 Suppl G:53-8. doi: 10.1093/eurheartj/17.suppl_g.53. PMID: 8960457

Clinical prediction guides

Gould KL, Nguyen T, Kirkeeide R, Roby AE, Bui L, Kitkungvan D, Patel MB, Madjid M, Haynie M, Lai D, Li R, Narula J, Johnson NP
JACC Cardiovasc Imaging 2023 Jan;16(1):78-94. Epub 2022 Sep 14 doi: 10.1016/j.jcmg.2022.05.016. PMID: 36599572
Mercik JS, Radziejewska J, Pach K, Zyśko D, Gajek J
Adv Clin Exp Med 2021 Dec;30(12):1323-1328. doi: 10.17219/acem/144161. PMID: 34898057
Glancy DL, Patterson CM
J La State Med Soc 2003 Jan-Feb;155(1):26-35; quiz 35, 63. PMID: 12656272
Soto JR, Watson DD, Beller GA
Am J Cardiol 2001 Sep 15;88(6):670-2. doi: 10.1016/s0002-9149(01)01812-4. PMID: 11564393
Chikamori T, Yamada M, Takata J, Furuno T, Yamasaki F, Yabe T, Doi Y
Am J Cardiol 1994 Dec 1;74(11):1161-4. doi: 10.1016/0002-9149(94)90472-3. PMID: 7977079

Recent systematic reviews

Demandt JPA, Zelis JM, Koks A, Smits GHJM, van der Harst P, Tonino PAL, Dekker LRC, van Het Veer M, Vlaar PJ
BMJ Open 2022 Apr 5;12(4):e057305. doi: 10.1136/bmjopen-2021-057305. PMID: 35383078Free PMC Article
Kirrane EF, Luben TJ, Benson A, Owens EO, Sacks JD, Dutton SJ, Madden M, Nichols JL
Environ Int 2019 Jun;127:305-316. Epub 2019 Apr 3 doi: 10.1016/j.envint.2019.02.027. PMID: 30953813Free PMC Article
Çatalkaya Demir S, Demir E, Çatalkaya S
Biomolecules 2019 Jan 30;9(2) doi: 10.3390/biom9020051. PMID: 30704132Free PMC Article
Fanaroff AC, Rymer JA, Goldstein SA, Simel DL, Newby LK
JAMA 2015 Nov 10;314(18):1955-65. doi: 10.1001/jama.2015.12735. PMID: 26547467
Lalonde F, Poirier P, Arvisais D, Curnier D
J Cardiopulm Rehabil Prev 2015 Mar-Apr;35(2):93-102. doi: 10.1097/HCR.0000000000000099. PMID: 25622217

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