Recognizing electrocardiographically subtle occlusion myocardial infarction and differentiating it from mimics: Ten steps to or away from cath lab [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2021; 49(6): 488-500 | DOI: 10.5543/tkda.2021.21026

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

Emre K. Aslanger1, H. Pendell Meyers2, Stephen W. Smith3
1Department of Cardiology, Marmara University Pendik Training and Research Hospital, İstanbul, Turkey
2Department of Emergency Medicine, Carolinas Medical Center, Charlotte, North Carolina, USA
3Department of Emergency Medicine, University of Minnesota Hennepin Healthcare, Minneapolis, Minnesota, USA

Summary– It 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.


How to cite this article
Emre K. Aslanger, H. Pendell Meyers, Stephen W. Smith. Recognizing electrocardiographically subtle occlusion myocardial infarction and differentiating it from mimics: Ten steps to or away from cath lab. Turk Kardiyol Dern Ars. 2021; 49(6): 488-500

Corresponding Author: Emre K. Aslanger, Türkiye
© Copyright 2021 Archives of the Turkish Society of Cardiology
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