The Olson method for detection of acute myocardial ischemia in patients with coronary occlusion

Research output: Contribution to journalArticle

Abstract

An automated ECG-based method may provide diagnostic support in the management of patients with acute coronary syndrome. The Olson method has previously proved to accurately identify the culprit artery in patients with acute coronary occlusion. Methods The Olson method was applied to 360 patients without acute myocardial ischemia and 52 patients with acute coronary occlusion. Results This study establishes the normal variation of the Olson wall scores in patients without acute myocardial ischemia, which provides the basis for implementation of the Olson method for triage of patients with acute coronary syndrome. All patients with acute occlusion had Olson wall scores above the upper limit of normal. Conclusion The Olson method can be used for ischemia detection with very high sensitivity. Future studies are needed to explore specificity in patients with non-ischemic ST elevation.

Details

Authors
  • Thomas Lindow
  • Charles W. Olson
  • Cees A. Swenne
  • Sumche Man
  • Olle Pahlm
Organisations
External organisations
  • Växjö Central Hospital
  • ECG-TECH Corp
  • Leiden University Medical Centre
  • Skåne University Hospital
Research areas and keywords

Subject classification (UKÄ) – MANDATORY

  • Cardiac and Cardiovascular Systems

Keywords

  • Acute coronary occlusion, Acute ischemia detection, Automated decision support, Olson method
Original languageEnglish
Pages (from-to)74-81
Number of pages8
JournalJournal of Electrocardiology
Volume50
Issue number1
StatePublished - 2017 Jan 1
Peer-reviewedYes