Failure of standard contemporary ST-elevation myocardial infarction electrocardiogram criteria to reliably identify acute occlusion of the left anterior descending coronary artery.

Journal: European heart journal. Acute cardiovascular care
Published Date: Jul 28, 2025

Abstract

AIMS: ST-elevation (STE) criteria on the electrocardiogram (ECG) are poorly sensitive for acute coronary occlusion myocardial infarction (ACOMI or OMI). This study evaluates the sensitivity of STE criteria on serial ECGs for total left anterior descending (LAD) coronary artery occlusion. We compared STE criteria with expert interpretation and a validated artificial intelligence (AI) ECG model for diagnosing LAD OMI.

Authors

  • H Pendell Meyers
    Department of Emergency Medicine, Carolinas Medical Center, Charlotte, North Carolina, USA.
  • Scott W Sharkey
    Department of Cardiology, Minneapolis Heart Institute, Minneapolis, MN, USA.
  • Robert Herman
    Department of Advanced Biomedical Sciences, University of Naples Federico II, C.so Umberto I, 40, 80138 Naples, Italy.
  • José Nunes de Alencar
    Department of Cardiology, Dante Pazzanese Institute of Cardiology, São Paulo, Brazil.
  • Gautam R Shroff
    Division of Cardiology, Hennepin Healthcare and University of Minnesota Medical School, Minneapolis, MN, USA.
  • William H Frick
    Department of Cardiology, SSM Health St. Louis University Hospital, St. Louis, MO, USA.
  • Stephen W Smith
    Department of Emergency Medicine, University of Minnesota, Minneapolis, MN, USA.

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