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



The Olson method was applied to 360 patients without acute myocardial ischemia and 52 patients with acute coronary occlusion.



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.



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.
Department of Clinical Physiology, Växjö Central Hospital, Växjö, Sweden. Electronic address: thomas.a.lindow@gmail.com.
Thomas
T
Lindow
ECG-TECH Corp, Huntington, NY, USA.
Charles W
CW
Olson
Department of Cardiology, Leiden University Medical Center, Leiden, The Netherlands.
Cees A
CA
Swenne
Department of Cardiology, Leiden University Medical Center, Leiden, The Netherlands.
Sumche
S
Man
Lund University, Department of Clinical Sciences Lund, Clinical Physiology, Skane University Hospital, Lund, Sweden.
Olle
O
Pahlm
D000208:Acute Disease; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000465:Algorithms; D054059:Coronary Occlusion / Q000150:complications* / Q000175:diagnosis*; D003936:Diagnosis, Computer-Assisted / Q000379:methods*; D004562:Electrocardiography / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000175:diagnosis* / Q000209:etiology*; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity
Acute coronary occlusion; Acute ischemia detection; Automated decision support; Olson method