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Updated: Oct 15, 2025

A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis
18:11

A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis

Published on: December 28, 2012

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[STEMI mimics : ST elevations on ECG: alternative diagnoses to acute coronary occlusion]

Steffen Grautoff1,2, Klaus Fessele3, Martin Fandler4

  • 1Gefahrenabwehr - Sicherheit und Ordnung, Kreis Herford, Wittekindstr. 7, 32051, Herford, Deutschland. steffen.grautoff@klinikum-herford.de.

Medizinische Klinik, Intensivmedizin Und Notfallmedizin
|October 28, 2021
PubMed

Insights

Recognizing electrocardiogram (ECG) patterns that mimic ST elevation myocardial infarction (STEMI) is crucial in emergency medicine. This overview details critical STEMI mimics to prevent misdiagnosis and ensure appropriate patient care.

Area of Science:

  • Cardiology
  • Emergency Medicine
  • Diagnostic Imaging

Context:

  • The electrocardiogram (ECG) is fundamental for emergency medical diagnosis and preoperative assessment.
  • ST elevation myocardial infarction (STEMI) requires immediate treatment based on ECG findings.
  • Certain ECG patterns can mimic STEMI, potentially leading to missed diagnoses and incorrect treatments.

Purpose:

  • To provide a comprehensive overview of critical diagnoses that imitate STEMI on ECG.
  • To highlight the importance of recognizing these STEMI mimics in emergency settings.

Summary:

  • A literature search identified key differential diagnoses for ST elevation on ECG.
  • These STEMI mimics are discussed in detail, emphasizing their relevance in emergency medicine.
  • The article presents an overview of differential diagnoses essential for emergency medicine when interpreting ECGs with ST elevations.

Impact:

  • Enhanced knowledge of these ECG patterns can significantly improve clinical decision-making in emergency medicine.
  • Accurate interpretation of ECGs prevents unnecessary interventions and ensures timely treatment for true STEMI cases.
Abstract

Keywords:
Aortic dissectionEmergency medicineHyperkalemiaIntracerebral hemorrhagePulmonary embolism

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