Our goal in diagnosing acute coronary syndromes is not to diagnose ST-elevations but coronary artery occlusions leading to myocardial infarction (OMI). In the past, we diagnosed heart attacks by looking for Q-waves, thus missing all the ST-elevations. EKG manifestations only are a marker for what's going on underneath. Within the broad bucket of NSTEMI, 25% … Continue reading Occlusion MI →