Early diagnosis of acute myocardial infarction by ST-segment deviation score

Acute myocardial infarction is a major cause of death and disability. Its rapid and reliable diagnosis is a major clinical need. The electrocardiogram and the measurement of myocardial enzymes are among others two important and fast methodologies to decide further management of chest pain patients after their presentation at the emergency department. The ST-segment deviation score has been invented for the early detection of ischemia signs in a standard 12-lead electrocardiogram in patients with symptoms suggestive of acute myocardial infarction. However, little is known about the optimal cutoff-values or the time of measurement in the repolarization phase.