{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T04:33:51Z","timestamp":1772253231124,"version":"3.50.1"},"reference-count":61,"publisher":"Sociedade Brasileira de Cardiologia","issue":"5","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq. Bras. Cardiol."],"abstract":"<jats:p>Resumo Embora o modelo existente de classifica\u00e7\u00e3o do infarto agudo do mioc\u00e1rdio (IAM) em IAMCSST e IAMSSST tenha sido ben\u00e9fico, considera-se hoje que ele falha em abordar a complexidade das s\u00edndromes coronarianas agudas. O estudo tem como objetivo examinar o atual paradigma IAMCSST-IAMSSST e defender um modelo mais detalhado, chamado de oclus\u00e3o coronariana aguda (OCA) e Aus\u00eancia de Oclus\u00e3o Coron\u00e1ria Aguda (NOCA), para um diagn\u00f3stico e um manejo do IAM mais precisos. Realizou-se uma an\u00e1lise abrangente da literatura m\u00e9dica existente, com foco nas limita\u00e7\u00f5es do modelo IAMCSST-IAMSSST. O estudo tamb\u00e9m descreve uma nova abordagem diagn\u00f3stica para pacientes apresentando do tor\u00e1cica nos departamentos de emerg\u00eancia. O modelo IAMCSST-IAMSSST tradicional falha em prover um diagn\u00f3stico preciso e um tratamento efetivo, principalmente na identifica\u00e7\u00e3o de oclus\u00f5es da art\u00e9ria coron\u00e1ria. O modelo OCA-NOCA \u00e9 mais preciso em termos anat\u00f4micos e fisiol\u00f3gicos, e apoiado por pesquisa cl\u00ednica extensa e opini\u00f5es de especialistas. Ele destaca a necessidade de r\u00e1pida realiza\u00e7\u00e3o de eletrocardiogramas (ECGs) e terapias de reperfus\u00e3o para casos suspeitos de OCA, visando melhorar os desfechos dos pacientes. O modelo OCA-NOCA abre um novo caminho para pesquisas e aplica\u00e7\u00f5es cl\u00ednicas futuras. Ele defende um entendimento mais abrangente dos mecanismos subjacentes das s\u00edndromes coronarianas agudas, levando a planos individualizados de tratamentos. Espera-se que essa nova abordagem incite novos debates e pesquisas acad\u00eamicas, principalmente na \u00e1rea de cardiologia no Brasil, com o objetivo de aumentar a precis\u00e3o diagn\u00f3stica e a efic\u00e1cia do tratamento de pacientes com IAM.<\/jats:p>","DOI":"10.36660\/abc.20230733","type":"journal-article","created":{"date-parts":[[2024,7,25]],"date-time":"2024-07-25T13:46:35Z","timestamp":1721915195000},"source":"Crossref","is-referenced-by-count":1,"title":["Al\u00e9m do Paradigma IAMCSST-IAMSSST: Proposta do Instituto Dante Pazzanese para o Diagn\u00f3stico de Oclus\u00e3o Coronariana Aguda"],"prefix":"10.36660","volume":"121","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3835-6067","authenticated-orcid":false,"given":"Jos\u00e9 Nunes De","family":"Alencar","sequence":"first","affiliation":[{"name":"Instituto Dante Pazzanese de Cardiologia,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fausto","family":"Feres","sequence":"additional","affiliation":[{"name":"Instituto Dante Pazzanese de Cardiologia,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariana Fuziy Nogueira De","family":"Marchi","sequence":"additional","affiliation":[{"name":"Instituto Dante Pazzanese de Cardiologia,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kleber Gomes","family":"Franchini","sequence":"additional","affiliation":[{"name":"Instituto Dante Pazzanese de Cardiologia,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matheus Kiszka","family":"Scheffer","sequence":"additional","affiliation":[{"name":"Instituto Dante Pazzanese de Cardiologia,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandro Pinelli","family":"Felicioni","sequence":"additional","affiliation":[{"name":"Instituto Dante Pazzanese de Cardiologia,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana Carolina Muniz","family":"Costa","sequence":"additional","affiliation":[{"name":"Instituto Dante Pazzanese de Cardiologia,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rinaldo Carvalho","family":"Fernandes","sequence":"additional","affiliation":[{"name":"Instituto Dante Pazzanese de Cardiologia,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4108-4653","authenticated-orcid":false,"given":"Hugo Ribeiro","family":"Ramadan","sequence":"additional","affiliation":[{"name":"Instituto Dante Pazzanese de Cardiologia,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pendell","family":"Meyers","sequence":"additional","affiliation":[{"name":"Carolinas Medical Center,  EUA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9166-9804","authenticated-orcid":false,"given":"Stephen W.","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine and University of Minnesota,  EUA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"22636","published-online":{"date-parts":[[2024]]},"reference":[{"issue":"3","key":"ref1","doi-asserted-by":"crossref","first-page":"959","DOI":"10.1016\/S0735-1097(00)00804-4","article-title":"Myocardial Infarction Redefined--a Consensus Document of The Joint European Society of Cardiology\/American College of Cardiology Committee for the Redefinition of Myocardial Infarction","volume":"36","author":"Alpert JS","year":"2000","journal-title":"J Am Coll Cardiol"},{"issue":"8893","key":"ref2","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1016\/S0140-6736(94)91161-4","article-title":"Indications for Fibrinolytic Therapy in Suspected Acute Myocardial Infarction: Collaborative Overview of Early Mortality and Major Morbidity Results from All Randomised Trials of More Than 1000 Patients. Fibrinolytic Therapy Trialists\u2019 (FTT) Collaborative Group","volume":"343","year":"1994","journal-title":"Lancet"},{"issue":"8607","key":"ref3","first-page":"349","article-title":"Randomised Trial of Intravenous Streptokinase, Oral Aspirin, Both, or Neither among 17,187 Cases of Suspected Acute Myocardial Infarction: ISIS-2. ISIS-2 (Second International Study of Infarct Survival) Collaborative Group","volume":"2","year":"1988","journal-title":"Lancet"},{"issue":"4","key":"ref4","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1053\/euhj.1999.1748","article-title":"Optimizing the Initial 12-lead Electrocardiographic Diagnosis of Acute Myocardial Infarction","volume":"21","author":"Menown IB","year":"2000","journal-title":"Eur Heart J"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1016\/j.jelectrocard.2004.08.032","article-title":"Modification of ACC\/ESC Criteria for Acute Myocardial Infarction","volume":"37","author":"Macfarlane PW","year":"2004","journal-title":"J Electrocardiol"},{"issue":"3","key":"ref6","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1093\/eurheartj\/ehy462","article-title":"Fourth Universal Definition of Myocardial Infarction (2018)","volume":"40","author":"Thygesen K","year":"2019","journal-title":"Eur Heart J"},{"key":"ref7","series-title":"Tratado de ECG","author":"Alencar Neto JN","year":"2022","edition":"1st ed."},{"issue":"3","key":"ref8","doi-asserted-by":"crossref","first-page":"156","DOI":"10.5152\/AnatolJCardiol.2021.89304","article-title":"Time for a New Paradigm Shift in Myocardial Infarction","volume":"25","author":"Aslanger EK","year":"2021","journal-title":"Anatol J Cardiol"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1016\/j.jelectrocard.2021.02.001","article-title":"STEMI: A Transitional Fossil in MI Classification?","volume":"65","author":"Aslanger EK","year":"2021","journal-title":"J Electrocardiol"},{"issue":"5","key":"ref10","doi-asserted-by":"crossref","first-page":"1540","DOI":"10.1378\/chest.120.5.1540","article-title":"Diagnosis of Acute Myocardial Infarction in Angiographically Documented Occluded Infarct Vessel: Limitations of ST-segment Elevation in Standard and Extended ECG Leads","volume":"120","author":"Schmitt C","year":"2001","journal-title":"Chest"},{"issue":"4","key":"ref11","doi-asserted-by":"crossref","first-page":"716","DOI":"10.1016\/j.ahj.2009.01.004","article-title":"Incidence, Distribution, and Prognostic Impact of Occluded Culprit Arteries among Patients with non-ST-elevation Acute Coronary Syndromes Undergoing Diagnostic Angiography","volume":"157","author":"Wang TY","year":"2009","journal-title":"Am Heart J"},{"issue":"8","key":"ref12","doi-asserted-by":"crossref","first-page":"806","DOI":"10.1016\/j.jcin.2010.05.012","article-title":"Angiographic and Clinical Outcomes among Patients with Acute Coronary Syndromes Presenting with Isolated Anterior ST-segment Depression: A TRITON-TIMI 38 (Trial to Assess Improvement in Therapeutic Outcomes by Optimizing Platelet Inhibition With Prasugrel-Thrombolysis In Myocardial Infarction 38) substudy","volume":"3","author":"Pride YB","year":"2010","journal-title":"JACC Cardiovasc Interv"},{"issue":"6","key":"ref13","doi-asserted-by":"crossref","first-page":"579","DOI":"10.1016\/S0002-9149(02)02559-6","article-title":"Prevalence of Coronary Occlusion and outcome of an Immediate Invasive Strategy in Suspected Acute Myocardial Infarction with and Without ST-segment Elevation","volume":"90","author":"Koyama Y","year":"2002","journal-title":"Am J Cardiol"},{"issue":"3","key":"ref14","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1016\/j.jemermed.2020.10.026","article-title":"Comparison of the ST-Elevation Myocardial Infarction (STEMI) vs. NSTEMI and Occlusion MI (OMI) vs. NOMI Paradigms of Acute MI","volume":"60","author":"Meyers HP","year":"2021","journal-title":"J Emerg Med"},{"key":"ref15","first-page":"100767","article-title":"Accuracy of OMI ECG Findings Versus STEMI Criteria for Diagnosis of Acute Coronary Occlusion Myocardial Infarction","volume":"33","author":"Meyers HP","year":"2021","journal-title":"Int J Cardiol Heart Vasc"},{"key":"ref16","first-page":"100603","article-title":"DIagnostic Accuracy of Electrocardiogram for Acute Coronary OCClUsion Resulting in myocardial Infarction (DIFOCCULT Study)","volume":"30","author":"Aslanger EK","year":"2020","journal-title":"Int J Cardiol Heart Vasc"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"131889","DOI":"10.1016\/j.ijcard.2024.131889","article-title":"Systematic Review and Meta-analysis of Diagnostic Test Accuracy of ST-segment Elevation for Acute Coronary Occlusion","volume":"402","author":"Neto JNA","year":"2024","journal-title":"Int J Cardiol"},{"issue":"41","key":"ref18","doi-asserted-by":"crossref","first-page":"3082","DOI":"10.1093\/eurheartj\/ehx418","article-title":"Impact of Total Occlusion of Culprit Artery in Acute Non-ST Elevation Myocardial Infarction: A Systematic Review and Meta-analysis","volume":"38","author":"Khan AR","year":"2017","journal-title":"Eur Heart J"},{"issue":"1","key":"ref19","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1186\/s13054-018-1944-x","article-title":"Prevalence and Outcome of Patients with non-ST Segment Elevation Myocardial Infarction with Occluded \"Culprit\" Artery - A Systemic Review and Meta-analysis","volume":"22","author":"Hung CS","year":"2018","journal-title":"Crit Care"},{"issue":"11","key":"ref20","doi-asserted-by":"crossref","first-page":"1302","DOI":"10.1001\/jamacardio.2020.2867","article-title":"High-Sensitivity Cardiac Troponin Concentrations at Presentation in Patients With ST-Segment Elevation Myocardial Infarction","volume":"5","author":"Wereski R","year":"2020","journal-title":"JAMA Cardiol"},{"issue":"19","key":"ref21","doi-asserted-by":"crossref","DOI":"10.1161\/JAHA.119.013551","article-title":"Relationship Between Troponin on Presentation and In-Hospital Mortality in Patients With ST-Segment-Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention","volume":"8","author":"Wanamaker BL","year":"2019","journal-title":"J Am Heart Assoc"},{"issue":"21","key":"ref22","doi-asserted-by":"crossref","first-page":"2165","DOI":"10.1056\/NEJMoa0807986","article-title":"Early Versus Delayed Invasive Intervention in Acute Coronary Syndromes","volume":"360","author":"Mehta SR","year":"2009","journal-title":"N Engl J Med"},{"issue":"9","key":"ref23","doi-asserted-by":"crossref","first-page":"947","DOI":"10.1001\/jama.2009.1267","article-title":"Immediate vs Delayed Intervention for Acute Coronary Syndromes: A Randomized Clinical Trial","volume":"302","author":"Montalescot G","year":"2009","journal-title":"JAMA"},{"issue":"12","key":"ref24","doi-asserted-by":"crossref","first-page":"1593","DOI":"10.1001\/jama.290.12.1593","article-title":"Evaluation of Prolonged Antithrombotic Pretreatment (\"Cooling-off\" Strategy) Before Intervention in Patients with Unstable Coronary Syndromes: A Randomized Controlled Trial","volume":"290","author":"Neumann FJ","year":"2003","journal-title":"JAMA"},{"issue":"15","key":"ref25","doi-asserted-by":"crossref","first-page":"1401","DOI":"10.1016\/S0195-668X(03)00259-8","article-title":"A Comparison of Two Invasive Strategies in Patients with Non-ST Elevation Acute Coronary Syndromes: Results of the Early or Late Intervention in unStable Angina (ELISA) Pilot Study. 2b\/3a Upstream Therapy and Acute Coronary Syndromes","volume":"24","author":"van \u2018t Hof AW","year":"2003","journal-title":"Eur Heart J"},{"issue":"16","key":"ref26","doi-asserted-by":"crossref","first-page":"2035","DOI":"10.1093\/eurheartj\/ehr418","article-title":"Optimal Timing of Invasive Angiography in Stable Non-ST-elevation Myocardial Infarction: The Leipzig Immediate Versus Early and Late Percutaneous Coronary Intervention Trial in NSTEMI (LIPSIA-NSTEMI Trial)","volume":"33","author":"Thiele H","year":"2012","journal-title":"Eur Heart J"},{"key":"ref27","doi-asserted-by":"crossref","first-page":"414","DOI":"10.1016\/j.ijcard.2014.12.089","article-title":"Early Invasive Strategy in High-risk Acute Coronary Syndrome Without ST-segment Elevation. The Sisca Randomized Trial","volume":"182","author":"Reuter PG","year":"2015","journal-title":"Int J Cardiol"},{"issue":"1","key":"ref28","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1093\/eurheartj\/ehq276","article-title":"Optimal Timing of Coronary Angiography and Potential Intervention in Non-ST-elevation Acute Coronary Syndromes","volume":"32","author":"Katritsis DG","year":"2011","journal-title":"Eur Heart J"},{"issue":"24","key":"ref29","doi-asserted-by":"crossref","first-page":"2741","DOI":"10.1161\/CIRCULATIONAHA.118.037152","article-title":"Early Versus Standard Care Invasive Examination and Treatment of Patients With Non-ST-Segment Elevation Acute Coronary Syndrome","volume":"138","author":"Kofoed KF","year":"2018","journal-title":"Circulation"},{"issue":"6","key":"ref30","doi-asserted-by":"crossref","first-page":"541","DOI":"10.1016\/j.jcin.2015.11.018","article-title":"Immediate Versus Delayed Invasive Intervention for Non-STEMI Patients: The RIDDLE-NSTEMI Study","volume":"9","author":"Milosevic A","year":"2016","journal-title":"JACC Cardiovasc Interv"},{"issue":"7","key":"ref31","doi-asserted-by":"crossref","first-page":"1804","DOI":"10.1038\/s41591-023-02396-3","article-title":"Machine Learning for ECG Diagnosis and Risk Stratification of Occlusion Myocardial Infarction","volume":"29","author":"Al-Zaiti SS","year":"2023","journal-title":"Nat Med"},{"issue":"2","key":"ref32","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1093\/ehjdh\/ztad074","article-title":"International Evaluation of An Artificial Intelligence-powered Electrocardiogram Model Detecting Acute Coronary Occlusion Myocardial Infarction","volume":"5","author":"Herman R","year":"2023","journal-title":"Eur Heart J Digit Health"},{"issue":"11","key":"ref33","doi-asserted-by":"crossref","first-page":"2182","DOI":"10.1016\/j.ajem.2016.08.053","article-title":"Terminal QRS Distortion is Present in Anterior Myocardial Infarction but Absent in Early Repolarization","volume":"34","author":"Lee DH","year":"2016","journal-title":"Am J Emerg Med"},{"issue":"5","key":"ref34","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1016\/j.jelectrocard.2017.04.005","article-title":"A New 4-variable Formula to Differentiate Normal Variant ST Segment Elevation in V2-V4 (Early Repolarization) from Subtle Left Anterior Descending Coronary Occlusion - Adding QRS Amplitude of V2 Improves the Model","volume":"50","author":"Driver BE","year":"2017","journal-title":"J Electrocardiol"},{"issue":"6","key":"ref35","doi-asserted-by":"crossref","DOI":"10.1111\/anec.12568","article-title":"A Tale of Two Formulas: Differentiation of Subtle Anterior MI from Benign ST Segment Elevation","volume":"23","author":"Bozbeyo\u011flu E","year":"2018","journal-title":"Ann Noninvasive Electrocardiol"},{"key":"ref36","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1016\/j.jelectrocard.2020.04.008","article-title":"A New Electrocardiographic Pattern Indicating Inferior Myocardial Infarction","volume":"61","author":"Aslanger E","year":"2020","journal-title":"J Electrocardiol"},{"issue":"4","key":"ref37","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1016\/j.amjcard.2005.08.068","article-title":"Concordance of Electrocardiographic Patterns and Healed Myocardial Infarction Location Detected by Cardiovascular Magnetic Resonance","volume":"97","author":"Luna AB","year":"2006","journal-title":"Am J Cardiol"},{"issue":"7","key":"ref38","first-page":"683","article-title":"New Heart Wall Terminology and New Electrocardiographic Classification of Q-wave Myocardial Infarction Based on Correlations with Magnetic Resonance Imaging","volume":"60","author":"Luna AB","year":"2007","journal-title":"Rev Esp Cardiol"},{"issue":"2","key":"ref39","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1016\/j.ajem.2015.09.035","article-title":"ST Depression in Lead aVL Differentiates Inferior ST-elevation Myocardial Infarction from Pericarditis","volume":"34","author":"Bischof JE","year":"2016","journal-title":"Am J Emerg Med"},{"issue":"2","key":"ref40","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1016\/j.jelectrocard.2009.07.009","article-title":"Electrocardiographic Classification of Acute Coronary Syndromes: A Review by a Committee of the International Society for Holter and Non-Invasive Electrocardiology","volume":"43","author":"Nikus K","year":"2010","journal-title":"J Electrocardiol"},{"issue":"23","key":"ref41","doi-asserted-by":"crossref","DOI":"10.1161\/JAHA.121.022866","article-title":"Ischemic ST-Segment Depression Maximal in V1-V4 (Versus V5-V6) of Any Amplitude Is Specific for Occlusion Myocardial Infarction (Versus Nonocclusive Ischemia)","volume":"10","author":"Meyers HP","year":"2021","journal-title":"J Am Heart Assoc"},{"issue":"1","key":"ref42","doi-asserted-by":"crossref","first-page":"41","DOI":"10.2174\/1573403X16666200702121937","article-title":"Conduction Disorders in the Setting of Acute STEMI","volume":"17","author":"Nikus K","year":"2021","journal-title":"Curr Cardiol Rev"},{"issue":"4","key":"ref43","first-page":"362","article-title":"2013 ACCF\/AHA Guideline for the Management of ST-elevation Myocardial Infarction: A Report of the American College of Cardiology Foundation\/American Heart Association Task Force on Practice Guidelines","volume":"127","author":"O'Gara PT","year":"2013","journal-title":"Circulation"},{"issue":"2","key":"ref44","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1093\/eurheartj\/ehx393","article-title":"2017 ESC Guidelines for the Management of Acute Myocardial Infarction in Patients Presenting with ST-segment Elevation: The Task Force for the Management of Acute Myocardial Infarction in Patients Presenting with ST-segment elevation of the European Society of Cardiology (ESC)","volume":"39","author":"Ibanez B","year":"2018","journal-title":"Eur Heart J"},{"issue":"38","key":"ref45","doi-asserted-by":"crossref","first-page":"3720","DOI":"10.1093\/eurheartj\/ehad191","article-title":"2023 ESC Guidelines for the Management of Acute Coronary Syndromes","volume":"44","author":"Byrne RA","year":"2023","journal-title":"Eur Heart J"},{"issue":"5","key":"ref46","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1016\/S0002-9149(97)89377-0","article-title":"Early Electrocardiographic Diagnosis of Acute Myocardial Infarction in the Presence of Ventricular Paced Rhythm. GUSTO-I Investigators","volume":"77","author":"Sgarbossa EB","year":"1996","journal-title":"Am J Cardiol"},{"issue":"6","key":"ref47","doi-asserted-by":"crossref","first-page":"766","DOI":"10.1016\/j.annemergmed.2012.07.119","article-title":"Diagnosis of ST-Elevation Myocardial Infarction in the Presence of Left Bundle Branch Block with the ST-elevation to S-wave Ratio in a Modified Sgarbossa Rule","volume":"60","author":"Smith SW","year":"2012","journal-title":"Ann Emerg Med"},{"issue":"4","key":"ref48","doi-asserted-by":"crossref","first-page":"517","DOI":"10.1016\/j.annemergmed.2021.03.036","article-title":"Electrocardiographic Diagnosis of Acute Coronary Occlusion Myocardial Infarction in Ventricular Paced Rhythm Using the Modified Sgarbossa Criteria","volume":"78","author":"Dodd KW","year":"2021","journal-title":"Ann Emerg Med"},{"issue":"1","key":"ref49","first-page":"86","article-title":"Early Electrocardiographic Diagnosis of Acute Myocardial Infarction in the Presence of Ventricular Paced Rhythm. GUSTO-I Investigators","volume":"33","author":"Widimsky P","year":"2012","journal-title":"Eur Heart J."},{"issue":"2","key":"ref50","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1177\/2048872618809700","article-title":"Right Bundle Branch Block in Patients with Suspected Myocardial Infarction","volume":"8","author":"Neumann JT","year":"2019","journal-title":"Eur Heart J Acute Cardiovasc Care"},{"issue":"4","key":"ref51","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1002\/clc.23781","article-title":"Immediate and Early Percutaneous Coronary Intervention in Very High-risk and High-risk Non-ST Segment Elevation Myocardial Infarction Patients","volume":"45","author":"Lupu L","year":"2022","journal-title":"Clin Cardiol"},{"issue":"25","key":"ref52","doi-asserted-by":"crossref","first-page":"1918","DOI":"10.1161\/CIRCULATIONAHA.122.061148","article-title":"Single High-Sensitivity Point-of-Care Whole-Blood Cardiac Troponin I Measurement to Rule Out Acute Myocardial Infarction at Low Risk","volume":"146","author":"Apple FS","year":"2022","journal-title":"Circulation"},{"key":"ref53","first-page":"7","article-title":"Association Between Opioid Analgesia and Delays to Cardiac Catheterization of Patients with Occlusion Myocardial Infarctions","volume":"27","author":"Bracey A","year":"0200","journal-title":"Acad Emerg Med"},{"issue":"2","key":"ref54","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1016\/j.cjca.2017.11.011","article-title":"New Insights Into the Use of the 12-Lead Electrocardiogram for Diagnosing Acute Myocardial Infarction in the Emergency Department","volume":"34","author":"Miranda DF","year":"2018","journal-title":"Can J Cardiol"},{"key":"ref55","series-title":"OMI Pocket Guide [Internet]","author":"Hellerman M","year":"2023"},{"key":"ref56","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1016\/j.jelectrocard.2022.06.003","article-title":"Early Ischemic ST-segment and T-wave Changes During Balloon Angioplasty","volume":"73","author":"Pessah MA","year":"2022","journal-title":"J Electrocardiol"},{"issue":"19","key":"ref57","doi-asserted-by":"crossref","first-page":"2071","DOI":"10.1056\/NEJMc0804737","article-title":"A New ECG Sign of Proximal LAD Occlusion","volume":"359","author":"Winter RJ","year":"2008","journal-title":"N Engl J Med"},{"issue":"20","key":"ref58","doi-asserted-by":"crossref","first-page":"1701","DOI":"10.1136\/hrt.2009.174557","article-title":"Persistent Precordial \"Hyperacute\" T-waves Signify Proximal Left Anterior Descending Artery Occlusion","volume":"95","author":"Verouden NJ","year":"2009","journal-title":"Heart"},{"issue":"1","key":"ref59","article-title":"Clinical Features of the Aslanger Pattern to Compensate for the Limitation of ST-Elevation Myocardial Infarction (STEMI) Criteria","volume":"15","author":"Miyauchi E","year":"2023","journal-title":"Cureus"},{"issue":"6","key":"ref60","doi-asserted-by":"crossref","first-page":"1255","DOI":"10.1016\/j.ahj.2015.09.005","article-title":"Validation of the Modified Sgarbossa Criteria for Acute Coronary Occlusion in the Setting of left Bundle Branch Block: A Retrospective Case-control Study","volume":"170","author":"Meyers HP","year":"2015","journal-title":"Am Heart J"},{"issue":"5","key":"ref61","doi-asserted-by":"crossref","first-page":"453","DOI":"10.1016\/j.jacc.2019.12.012","article-title":"Coronary CT Angiography in Patients With Non-ST-Segment Elevation Acute Coronary Syndrome","volume":"75","author":"Linde JJ","year":"2020","journal-title":"J Am Coll Cardiol"}],"container-title":["Arquivos Brasileiros de Cardiologia"],"original-title":["Beyond STEMI-NSTEMI Paradigm: Dante Pazzanese's Proposal for Occlusion Myocardial Infarction Diagnosis"],"link":[{"URL":"https:\/\/abccardiol.org\/wp-content\/uploads\/articles_xml\/0066-782X-abc-121-05-e20230733\/0066-782X-abc-121-05-e20230733.x47225.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,25]],"date-time":"2024-07-25T13:47:46Z","timestamp":1721915266000},"score":1,"resource":{"primary":{"URL":"https:\/\/abccardiol.org\/article\/alem-do-paradigma-iamcsst-iamssst-proposta-do-instituto-dante-pazzanese-para-o-diagnostico-de-oclusao-coronariana-aguda\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024]]},"references-count":61,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2024]]}},"alternative-id":["S0066-782X2024000500401"],"URL":"https:\/\/doi.org\/10.36660\/abc.20230733","relation":{"is-translation-of":[{"id-type":"doi","id":"10.36660\/abc.20230733i","asserted-by":"subject"},{"id-type":"doi","id":"10.36660\/abc.20230733i","asserted-by":"object"}]},"ISSN":["1678-4170","0066-782X"],"issn-type":[{"value":"1678-4170","type":"electronic"},{"value":"0066-782X","type":"print"}],"subject":[],"published":{"date-parts":[[2024]]},"article-number":"e20230733"}}