DIagnostic accuracy oF electrocardiogram for acute coronary OCClUsion resuLTing in myocardial infarction (DIFOCCULT Study)

Aslanger E. K., Yildirimturk O., Baris S., Bozbeyoglu E., Simsek M. A., Karabay C. Y., ...More

IJC HEART & VASCULATURE, vol.30, 2020 (ESCI) identifier identifier

  • Publication Type: Article / Article
  • Volume: 30
  • Publication Date: 2020
  • Doi Number: 10.1016/j.ijcha.2020.100603
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus
  • Keywords: Coronary occlusion, Electrocardiogram, Myocardial infarction, Percutaneous coronary intervention, ST-segment elevation, ST-SEGMENT ELEVATION, MEDICAL THERAPY, CLINICAL-OUTCOMES, TASK-FORCE, REVASCULARIZATION, PREVALENCE, MANAGEMENT, CRITERIA, ECG, REPOLARIZATION
  • Dokuz Eylül University Affiliated: No


Background: Although ST-segment elevation (STE) has been used synonymously with acute coronary occlusion (ACO), current STE criteria miss nearly one-third of ACO and result in a substantial amount of false catheterization laboratory activations. As many other electrocardiographic (ECG) findings can reliably indicate ACO, we sought whether a new ACO/non-ACO myocardial infarction (MI) paradigm would result in better identification of the patients who need acute reperfusion therapy.