Publications by authors named "H F Meyers"
A generation ago thrombolytic therapy led to a paradigm shift in myocardial infarction (MI), from Q-wave/non-Q-wave to ST-segment elevation MI (STEMI) vs non-STEMI. Using STE on the electrocardiogram (ECG) as a surrogate marker for acute coronary occlusion (ACO) allowed for rapid diagnosis and treatment. But the vast research catalyzed by the STEMI paradigm has revealed increasing anomalies: 25% of "non-STEMI" have ACO with delayed reperfusion and higher mortality.
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- About 40% of patients with acute coronary occlusion myocardial infarction (OMI) don't show typical STEMI signs, leading to delayed treatment and higher health risks.
- The study examined 334 patients at a hospital in Albania to understand the differences between STEMI and NSTEMI cases and the impact of late revascularization for NSTEMI-OMI patients.
- Of the participants, 29.3% were NSTEMI-OMI; 40% of OMI patients didn't meet STEMI criteria, with a significant difference in timely PCI (only 11% of STEMI(-)OMI vs. 77% of STEMI(+)OMI).
Objectives: Data suggest patients suffering acute coronary occlusion myocardial infarction (OMI) benefit from prompt primary percutaneous intervention (PPCI). Many emergency medical services (EMS) activate catheterization labs to reduce time to PPCI, but suffer a high burden of inappropriate activations. Artificial intelligence (AI) algorithms show promise to improve electrocardiogram (ECG) interpretation.
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