Electrocardiographic Diagnosis of Acute Coronary Occlusion Myocardial Infarction in Ventricular Paced Rhythm Using the Modified Sgarbossa Criteria

2021 ◽  
Author(s):  
Kenneth W. Dodd ◽  
Deborah L. Zvosec ◽  
Michael A. Hart ◽  
George Glass ◽  
Laura E. Bannister ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Coronary Occlusion ◽  
Acute Coronary Occlusion

scholarly journals Accuracy of OMI ECG findings versus STEMI criteria for diagnosis of acute coronary occlusion myocardial infarction

2021 ◽  
Vol 33 ◽  
pp. 100767
Author(s):  
H. Pendell Meyers ◽  
Alexander Bracey ◽  
Daniel Lee ◽  
Andrew Lichtenheld ◽  
Wei J. Li ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Coronary Occlusion ◽  
Acute Coronary Occlusion ◽  
Criteria For Diagnosis

scholarly journals Diagnosis of myocardial infarction at autopsy: AECVP reappraisal in the light of the current clinical classification

2019 ◽  
Vol 476 (2) ◽  
pp. 179-194 ◽  
Author(s):  
Katarzyna Michaud ◽  
◽  
Cristina Basso ◽  
Giulia d’Amati ◽  
Carla Giordano ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Myocardial Injury ◽  
Coronary Occlusion ◽  
Diagnostic Methods ◽  
Myocardial Infarctions ◽  
Post Mortem ◽  
Acute Coronary Occlusion ◽  
Different Types ◽  
Third Person ◽  
Myocardial Pathology

Abstract Ischemic heart disease is one of the leading causes of morbidity and death worldwide. Consequently, myocardial infarctions are often encountered in clinical and forensic autopsies, and diagnosis can be challenging, especially in the absence of an acute coronary occlusion. Precise histopathological identification and timing of myocardial infarction in humans often remains uncertain while it can be of crucial importance, especially in a forensic setting when third person involvement or medical responsibilities are in question. A proper post-mortem diagnosis requires not only up-to-date knowledge of the ischemic coronary and myocardial pathology, but also a correct interpretation of such findings in relation to the clinical scenario of the deceased. For these reasons, it is important for pathologists to be familiar with the different clinically defined types of myocardial infarction and to discriminate myocardial infarction from other forms of myocardial injury. This article reviews present knowledge and post-mortem diagnostic methods, including post-mortem imaging, to reveal the different types of myocardial injury and the clinical-pathological correlations with currently defined types of myocardial infarction.

Use of an Artificial Neural Network for Data Analysis in Clinical Decision-Making: The Diagnosis of Acute Coronary Occlusion

1990 ◽  
Vol 2 (4) ◽  
pp. 480-489 ◽  
Author(s):  
William G. Baxt
Keyword(s):  
Neural Network ◽  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Artificial Neural Network ◽  
Coronary Occlusion ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Acute Coronary Occlusion ◽  
Artificial Neural ◽  
Better Than

A nonlinear artificial neural network trained by backpropagation was applied to the diagnosis of acute myocardial infarction (coronary occlusion) in patients presenting to the emergency department with acute anterior chest pain. Three-hundred and fifty-six patients were retrospectively studied, of which 236 did not have acute myocardial infarction and 120 did have infarction. The network was trained on a randomly chosen set of half of the patients who had not sustained acute myocardial infarction and half of the patients who had sustained infarction. It was then tested on a set consisting of the remaining patients to which it had not been exposed. The network correctly identified 92% of the patients with acute myocardial infarction and 96% of the patients without infarction. When all patients with the electrocardiographic evidence of infarction were removed from the cohort, the network correctly identified 80% of the patients with infarction. This is substantially better than the performance reported for either physicians or any other analytical approach.

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