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- W3120431378 abstract "Based on 12‑lead electrocardiogram (ECG) findings, myocardial infarction (MI) patients are dichotomized to ST-elevation MI (STEMI) and non ST-elevation MI (NSTEMI) in terms of management strategy. NSTEMI patients are increasing in numbers worldwide, among which an approximately 30% are associated with a total occlusion of a coronary artery. This review summarizes recent evidence in epidemiology, clinical, laboratory, ECG and prognostic characteristics of this NSTEMI sub-group. Patients with a diagnosis of NSTEMI and a total occluded coronary artery (TOCA) represent a sub-group of NSTEMI patients with total occlusion of coronary arteries and associated high-risk that are frequently not managed according to a STEMI-like pathway. The present review echoes a call for action in changing our everyday clinical practice. Therefore, we propose a new triage algorithm by which recognition of high-risk features in NSTEMI patients is central in order to identify STEMI ‘equivalents’ among NSTEMI patients in terms of similar pathology and high-risk who may benefit from immediate invasive strategy (<2 h)." @default.
- W3120431378 created "2021-01-18" @default.
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- W3120431378 date "2021-04-01" @default.
- W3120431378 modified "2023-10-18" @default.
- W3120431378 title "Total coronary occlusion in non ST elevation myocardial infarction: Time to change our practice?" @default.
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- W3120431378 doi "https://doi.org/10.1016/j.ijcard.2020.12.082" @default.
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