In this episode, we highlight key aspects of 12-lead ECG interpretation, as it relates to the diagnosis of acute ischemia, and especially to acute coronary occlusion. We convey the concept of occlusion myocardial infarction (OMI), emphasizing appreciation of how the STEMI paradigm misses at least 30% of acute coronary occlusions that can be picked up by using the OMI paradigm. Furthermore, we cite ECG findings that facilitate early identification of an acute OMI and applying a time-efficient technique for how to compare one ECG to another and how artificial intelligence may play a role in this space.

Topics Discussed
• Key initiatives or approaches to introduce in the ECG lab
• Strategy for integrating the ECG lab with other departments to elevate cardiac care
• Milestones and breakthroughs aimed to achieve with the ECG lab