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The Olson method for detection of acute myocardial ischemia in patients with coronary occlusion

Lindow, Thomas LU ; Olson, Charles W. ; Swenne, Cees A. ; Man, Sumche and Pahlm, Olle LU (2017) In Journal of Electrocardiology 50(1). p.74-81
Abstract

An automated ECG-based method may provide diagnostic support in the management of patients with acute coronary syndrome. The Olson method has previously proved to accurately identify the culprit artery in patients with acute coronary occlusion. Methods The Olson method was applied to 360 patients without acute myocardial ischemia and 52 patients with acute coronary occlusion. Results This study establishes the normal variation of the Olson wall scores in patients without acute myocardial ischemia, which provides the basis for implementation of the Olson method for triage of patients with acute coronary syndrome. All patients with acute occlusion had Olson wall scores above the upper limit of normal. Conclusion The Olson method can be... (More)

An automated ECG-based method may provide diagnostic support in the management of patients with acute coronary syndrome. The Olson method has previously proved to accurately identify the culprit artery in patients with acute coronary occlusion. Methods The Olson method was applied to 360 patients without acute myocardial ischemia and 52 patients with acute coronary occlusion. Results This study establishes the normal variation of the Olson wall scores in patients without acute myocardial ischemia, which provides the basis for implementation of the Olson method for triage of patients with acute coronary syndrome. All patients with acute occlusion had Olson wall scores above the upper limit of normal. Conclusion The Olson method can be used for ischemia detection with very high sensitivity. Future studies are needed to explore specificity in patients with non-ischemic ST elevation.

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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Acute coronary occlusion, Acute ischemia detection, Automated decision support, Olson method
in
Journal of Electrocardiology
volume
50
issue
1
pages
8 pages
publisher
Elsevier
external identifiers
  • pmid:27836168
  • wos:000393534500008
  • scopus:85006272161
ISSN
0022-0736
DOI
10.1016/j.jelectrocard.2016.10.008
language
English
LU publication?
yes
id
76f4de6c-377f-4e0b-8220-5de7a1f967dc
date added to LUP
2017-01-13 14:20:59
date last changed
2024-01-04 20:38:38
@article{76f4de6c-377f-4e0b-8220-5de7a1f967dc,
  abstract     = {{<p>An automated ECG-based method may provide diagnostic support in the management of patients with acute coronary syndrome. The Olson method has previously proved to accurately identify the culprit artery in patients with acute coronary occlusion. Methods The Olson method was applied to 360 patients without acute myocardial ischemia and 52 patients with acute coronary occlusion. Results This study establishes the normal variation of the Olson wall scores in patients without acute myocardial ischemia, which provides the basis for implementation of the Olson method for triage of patients with acute coronary syndrome. All patients with acute occlusion had Olson wall scores above the upper limit of normal. Conclusion The Olson method can be used for ischemia detection with very high sensitivity. Future studies are needed to explore specificity in patients with non-ischemic ST elevation.</p>}},
  author       = {{Lindow, Thomas and Olson, Charles W. and Swenne, Cees A. and Man, Sumche and Pahlm, Olle}},
  issn         = {{0022-0736}},
  keywords     = {{Acute coronary occlusion; Acute ischemia detection; Automated decision support; Olson method}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{74--81}},
  publisher    = {{Elsevier}},
  series       = {{Journal of Electrocardiology}},
  title        = {{The Olson method for detection of acute myocardial ischemia in patients with coronary occlusion}},
  url          = {{http://dx.doi.org/10.1016/j.jelectrocard.2016.10.008}},
  doi          = {{10.1016/j.jelectrocard.2016.10.008}},
  volume       = {{50}},
  year         = {{2017}},
}