Publication:
Recognizing electrocardiographically subtle occlusion myocardial infarction and differentiating it from mimics: Ten steps to or away from cath lab

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dc.contributor.authorsAslanger, Emre K.; Meyers, H. Pendell; Smith, Stephen W.
dc.date.accessioned2022-03-14T09:54:01Z
dc.date.accessioned2026-01-10T20:41:44Z
dc.date.available2022-03-14T09:54:01Z
dc.date.issued2021-09-20
dc.description.abstractIt is increasingly evident that the ST-segment elevation (STE) myocardial infarction (MI)/non-STEMI paradigm that equates STEMI with acute coronary occlusion (ACO) is deceptive. This unfortunate paradigm, adhered to by the current guidelines, misses at least one-fourth of the ACOs, and unnecessarily over-triages a similar fraction of the patients to the catheterization laboratory. Accordingly, we have been calling for a new paradigm, the occlusion/nonocclusion MI (OMI/NOMI). Although this new OMI/NOMI paradigm is not limited to an electrocardiogram (ECG), the ECG will remain the cornerstone of this new paradigm because of its speed, repeatability, noninvasive nature, wide availability, and high diagnostic power for OMI. This review provides a step-by-step approach to ECG for the diagnosis of OMI.
dc.identifier.doi10.5543/tkda.2021.21026
dc.identifier.issn1016-5169
dc.identifier.pubmed34523597
dc.identifier.urihttps://hdl.handle.net/11424/243600
dc.identifier.wosWOS:000697876300009
dc.language.isotur
dc.publisherAVES
dc.relation.ispartofTURK KARDIYOLOJI DERNEGI ARSIVI-ARCHIVES OF THE TURKISH SOCIETY OF CARDIOLOGY
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectAcute coronary syndrome
dc.subjectcoronary occlusion
dc.subjectelectrocardiography
dc.subjectmyocardial infarction
dc.subjectpercutaneous coronary interventions
dc.subjectST-SEGMENT ELEVATION
dc.subjectBUNDLE-BRANCH BLOCK
dc.subjectEARLY REPOLARIZATION
dc.subjectUNIVERSAL DEFINITION
dc.subjectDIAGNOSIS
dc.subjectPATTERN
dc.subjectPATIENT
dc.subjectQRS
dc.subjectARTERY
dc.subjectCOMMON
dc.titleRecognizing electrocardiographically subtle occlusion myocardial infarction and differentiating it from mimics: Ten steps to or away from cath lab
dc.typearticle
dspace.entity.typePublication
oaire.citation.endPage500
oaire.citation.issue6
oaire.citation.startPage488
oaire.citation.titleTURK KARDIYOLOJI DERNEGI ARSIVI-ARCHIVES OF THE TURKISH SOCIETY OF CARDIOLOGY
oaire.citation.volume49

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