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The sensitivity and accuracy of 12-lead ECG for the detection of acute total occlusion (TO) of the culprit coronary artery in non-ST-elevation myocardial infarction (NSTEMI) is still suboptimal, particularly for posterolateral circulation.   Aims: We evaluated the prevalence and predictive value of electrocardiographic STEMI-equivalents (i.e. de-Winter ST/T-wave complex, N-wave, T-wave precordial instability, and posterior myocardial infarction) for detecting acute coronary artery occlusion in NSTEMI patients referred for early invasive treatment.

kardiologia polska

Predictive value of electrocardiographic ST‑segment elevation myocardial infarction equivalents for detecting acute coronary artery occlusion in patients with non–ST‑segment elevation myocardial infarction