Reconsidering Electrocardiographic Predictors of Culprit Coronary Artery Occlusion in NSTEMI Patients

ABSTRACT This letter provides a critical appraisal of the study by Wei et al. on clinical and electrocardiographic predictors of left circumflex artery occlusion in NSTEMI patients. While the authors identified STV5 + STV6 ≥ 2.5 mm and T‐wave imbalance as potential markers, concerns remain regarding...

وصف كامل

التفاصيل البيبلوغرافية
الحاوية / القاعدة:Annals of Noninvasive Electrocardiology
المؤلفون الرئيسيون: Mucahit Yetim, Ömer Burak Çelik, Macit Kalçık
التنسيق: مقال
اللغة:الإنجليزية
منشور في: Wiley 2025-09-01
الموضوعات:
acute total occlusion
electrocardiography
left circumflex artery
non‐ST‐elevation myocardial infarction (NSTEMI)
الوصول للمادة أونلاين:https://doi.org/10.1111/anec.70112
الوصف
الملخص:ABSTRACT This letter provides a critical appraisal of the study by Wei et al. on clinical and electrocardiographic predictors of left circumflex artery occlusion in NSTEMI patients. While the authors identified STV5 + STV6 ≥ 2.5 mm and T‐wave imbalance as potential markers, concerns remain regarding the single‐center, retrospective design, limited sensitivity of ECG findings, and the lack of significant differences in clinical outcomes. Prior meta‐analyses suggest a higher risk in patients with occluded culprit arteries, highlighting inconsistencies with the present study. Future research should employ multicenter prospective designs and advanced diagnostic modalities, including posterior ECG leads and artificial intelligence–based analysis, to improve detection and risk stratification of culprit LCX occlusion in NSTEMI.
تدمد:1082-720X
1542-474X

مواد مشابهة