Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations

Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations

The pathophysiology of Acute Coronary Syndrome [ACD] involves several key processes:The main underlying cause of ACD is atherosclerosis, a chronic inflammatory disease characterized by the buildup of lipid-laden plaques within the coronary arteries.As the atherosclerotic plaque grows in the coronary artery, it may become unstable due to the formation of a lipid-rich core and a thin fibrous cap. Inflammatory cells within the plaque, such as macrophages, secrete enzymes that degrade the...

Acute Coronary Syndrome I: Introduction

Acute Coronary Syndrome I: Introduction

Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...

Acute Coronary Syndrome III: Diagnostic Studies

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...

Acute Coronary Syndrome V: Nursing Management

Acute Coronary Syndrome V: Nursing Management

Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...

Acute Coronary Syndrome IV: Interprofessional Care

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Electrocardiogram competency of Canadian emergency medicine residents: curriculum gaps and opportunities for improvement.

CJEM·2026

Same author

OMI: time for early recognition and management of acute coronary occlusion.

The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology·2026

Same author

The illusion of simplicity: Diagnostic inconsistencies within the STEMI paradigm.

Journal of electrocardiology·2026

Same author

The cost of false dichotomies in a dynamic disease.

Trends in cardiovascular medicine·2026

Same author

Can an artificial intelligence electrocardiogram algorithm improve diagnostic accuracy for acute coronary occlusion in the difficult subset of canceled catheterization lab activations?

Journal of electrocardiology·2026

Same author

Performance of Artificial Intelligence-Powered ECG Analysis in Suspected ST-Segment Elevation Myocardial Infarction.

JACC. Advances·2026

Search research articles

Related Experiment Video

Updated: Jul 11, 2025

Author Spotlight: Assessing Ischemic Stroke Damage Through Middle Cerebral Artery Occlusion Model

Author Spotlight: Assessing Ischemic Stroke Damage Through Middle Cerebral Artery Occlusion Model

Published on: August 11, 2023

A Bayesian approach to acute coronary occlusion.

Jesse T T McLaren¹, Stephen W Smith²

¹Department of Family and Community Medicine, University Health Network, Toronto, Ontario, Canada.

Journal of Electrocardiology

|November 11, 2023

Summary

The Occlusion MI (OMI) paradigm improves acute coronary occlusion diagnosis by using Bayesian reasoning for ECG interpretation, addressing limitations of the STEMI criteria. This approach ensures timely reperfusion for all patients with acute coronary occlusion.

Keywords:

Electrocardiography Occlusion MI ST elevation myocardial infarction

More Related Videos

Primary Outcome Assessment in a Pig Model of Acute Myocardial Infarction

Primary Outcome Assessment in a Pig Model of Acute Myocardial Infarction

Published on: October 14, 2016

Author Spotlight: A Novel Approach to Cerebral Ischemia Modeling – Enhancing Reperfusion and Simplifying Procedure

Author Spotlight: A Novel Approach to Cerebral Ischemia Modeling – Enhancing Reperfusion and Simplifying Procedure

Published on: May 31, 2024

Related Experiment Videos

Last Updated: Jul 11, 2025

Author Spotlight: Assessing Ischemic Stroke Damage Through Middle Cerebral Artery Occlusion Model

Author Spotlight: Assessing Ischemic Stroke Damage Through Middle Cerebral Artery Occlusion Model

Published on: August 11, 2023

Primary Outcome Assessment in a Pig Model of Acute Myocardial Infarction

Primary Outcome Assessment in a Pig Model of Acute Myocardial Infarction

Published on: October 14, 2016

Author Spotlight: A Novel Approach to Cerebral Ischemia Modeling – Enhancing Reperfusion and Simplifying Procedure

Author Spotlight: A Novel Approach to Cerebral Ischemia Modeling – Enhancing Reperfusion and Simplifying Procedure

Published on: May 31, 2024

Area of Science:

Cardiology
Medical Diagnostics
Artificial Intelligence in Medicine

Background:

The current ST-elevation myocardial infarction (STEMI) diagnostic criteria rely on limited electrocardiogram (ECG) features, potentially delaying treatment for acute coronary occlusion.
This delay impacts patients whose ECGs do not meet traditional STEMI criteria despite having acute coronary occlusion.

Discussion:

This editorial explores the application of Bayesian reasoning to ECG interpretation, as detailed in Jose Nunes de Alencar Neto's work.
The Occlusion MI (OMI) paradigm is presented as a novel approach to interpreting ECGs for acute coronary occlusion.
It highlights the integration of expert-trained artificial intelligence within the OMI framework.

Key Insights:

The OMI paradigm offers a more comprehensive diagnostic framework for acute coronary occlusion compared to STEMI.
Bayesian reasoning enhances ECG interpretation by considering a broader range of data and probabilities.
AI-powered tools can significantly improve the accuracy and speed of OMI diagnosis.

Outlook:

The OMI paradigm represents a significant shift towards more accurate and timely diagnosis of acute coronary occlusion.
Further research and clinical adoption of the OMI approach could lead to improved patient outcomes.
Integrating Bayesian principles and AI in ECG interpretation holds promise for advancing cardiovascular diagnostics.