Abstract

Objective: To determine diagnostic accuracy of electrocardiogram (ECG) in detecting the culprit coronary in acute ST elevated myocardial infarction (STEMI). Introduction: Cardiovascular diseases (CVDs), especially coronary heart disease (CHD), have assumed epidemic proportions worldwide. In making the clinical decision for the early management in patients with acute myocardial infarction specific indicator is needed. Ideally, this indicator should be simple, quick, reliable, noninvasive, inexpensive, and easily applicable to all the patients. Coronary Angiography which is the gold standard to detect the culprit vessel invasive, expensive, requires skilled personnel, is time consuming and involves radiation exposure.This study will depict the importance of knowing culprit artery responsible for STEMI before putting the patient to invasive coronary angiography and in some cases; it can categorize the group patients who are at higher risk of considerable damage to the myocardium.Only few studies have examined the predictive utility of ECG in predicting the culprit vessel hence this study was carried out to find out the diagnostic accuracy of ECG in comparison to coronary angiography in predicting the culprit coronary in acute STEMI in resources limited setting of rural central India.

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