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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

Byrne RA, Rossello X, Coughlan JJ, Barbato E, Berry C, Chieffo A, Claeys MJ, Dan GA, Dweck MR, Galbraith M, Gilard M, Hinterbuchner L, Jankowska EA, Jüni P, Kimura T, Kunadian V, Leosdottir M, Lorusso R, Pedretti RFE, Rigopoulos AG, Rubini Gimenez M, Thiele H, Vranckx P, Wassmann S, Wenger NK, Ibanez B; ESC Scientific Document Group
Eur Heart J 2023 Oct 12;44(38):3720-3826. doi: 10.1093/eurheartj/ehad191. PMID: 37622654
Bhatt DL, Lopes RD, Harrington RA
JAMA 2022 Feb 15;327(7):662-675. doi: 10.1001/jama.2022.0358. PMID: 35166796
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

Nohria R, Viera AJ
Am Fam Physician 2024 Jan;109(1):34-42. PMID: 38227869
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

Diagnosis

de Alencar Neto JN, Scheffer MK, Correia BP, Franchini KG, Felicioni SP, De Marchi MFN
Int J Cardiol 2024 May 1;402:131889. Epub 2024 Feb 20 doi: 10.1016/j.ijcard.2024.131889. PMID: 38382857
Nohria R, Viera AJ
Am Fam Physician 2024 Jan;109(1):34-42. PMID: 38227869
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

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
Rossello X, Yellon DM
Int J Cardiol 2016 Oct 1;220:176-84. Epub 2016 Jun 25 doi: 10.1016/j.ijcard.2016.06.131. PMID: 27379920
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
Guerin M, Silvain J, Gall J, Darabi M, Berthet M, Frisdal E, Hauguel-Moreau M, Zeitouni M, Kerneis M, Lattuca B, Brugier D, Collet JP, Lesnik P, Montalescot G
J Am Coll Cardiol 2018 Dec 25;72(25):3259-3269. doi: 10.1016/j.jacc.2018.09.080. PMID: 30573028
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
Dondo TB, Hall M, West RM, Jernberg T, Lindahl B, Bueno H, Danchin N, Deanfield JE, Hemingway H, Fox KAA, Timmis AD, Gale CP
J Am Coll Cardiol 2017 Jun 6;69(22):2710-2720. doi: 10.1016/j.jacc.2017.03.578. PMID: 28571635Free PMC Article
Giugliano RP, Braunwald E
J Am Coll Cardiol 2009 Oct 13;54(16):1544-55. doi: 10.1016/j.jacc.2009.06.025. PMID: 19815127

Clinical prediction guides

Qian G, Qin H, Deng D, Feng Y, Zhang C, Qu X, Zhang Z
Clinics (Sao Paulo) 2024;79:100429. Epub 2024 Jul 24 doi: 10.1016/j.clinsp.2024.100429. PMID: 39053030Free PMC Article
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
Corrigan FE 3rd
JACC Cardiovasc Interv 2020 Apr 13;13(7):e63-e65. Epub 2020 Mar 11 doi: 10.1016/j.jcin.2019.11.037. PMID: 32171720
Subahi A, Kheiri B, Yassin AS, Ali OE
Cardiovasc Revasc Med 2020 Aug;21(8):989-991. Epub 2019 Oct 25 doi: 10.1016/j.carrev.2019.10.021. PMID: 31672537
Lindow T, Warren S, Pahlm O
Circulation 2018 Oct 2;138(14):1481-1484. doi: 10.1161/CIRCULATIONAHA.118.036622. PMID: 30354356

Recent systematic reviews

de Alencar Neto JN, Scheffer MK, Correia BP, Franchini KG, Felicioni SP, De Marchi MFN
Int J Cardiol 2024 May 1;402:131889. Epub 2024 Feb 20 doi: 10.1016/j.ijcard.2024.131889. PMID: 38382857
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
Wang L, Liu J, Fang H, Wang X
Clin Cardiol 2023 Nov;46(11):1450-1457. Epub 2023 Aug 18 doi: 10.1002/clc.24130. PMID: 37594292Free 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
Lamelas P, Winter J, Villablanca PA, Mehta S, Ramakrishna H
J Cardiothorac Vasc Anesth 2019 Mar;33(3):850-857. Epub 2018 May 31 doi: 10.1053/j.jvca.2018.05.024. PMID: 30077563

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