A comprehensive and easy-to-use electrocardiogram (ECG) algorithm to predict the coronary occlusion site in ST-segment elevation myocardial infarction
Authors' conclusion
Derived from an extensive literature review, this comprehensive and easy-to-use ECG algorithm can accurately predict the IRA and its occlusion level in all-comers STEMI patients.
Study context
- Population
- Consecutive STEMI patients undergoing primary PCI over one yearconsecutive
- Participants
- 419 patients
- Comparison
- ECG algorithm vs expert physicians for predicting culprit occlusion site
- Derivationn = 314
- Validationn = 105
- Outcome
- Prediction of the infarct-related artery (IRA) and its occlusion level (proximal vs mid-distal)
Methodological detailsderivation and validation cohorts, decision-tree analysis
- Derivation and validation cohorts
- Decision-tree analysis
Performance
As reported in the abstract
Diagnostic accuracy of ECG algorithm
IRA correctly predicted
IRA and occlusion level correctly predicted
Further findings
| Outcome | P value |
|---|---|
| Real-world comparative test: identifying culprit occlusion siteAlgorithm vs Best cardiologist · algorithm significantly better | P = 0.026 |
| Real-world comparative test: identifying culprit occlusion siteAlgorithm vs Best emergency medicine doctor · algorithm significantly better | P < 0.001 |
Original publication
A comprehensive and easy-to-use ECG algorithm to predict the coronary occlusion site in ST-segment elevation myocardial infarction. Am Heart J. Published 20 October 2022. doi:10.
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