Emergency department diagnosis and management of acute coronary occlusion.
Emergency medicine practice · 2026-01-22 · Other / unclear
Abstract
Acute coronary occlusion is a time-sensitive cardiac emergency that requires early, accurate diagnosis and prompt treatment to restore coronary perfusion, usually by percutaneous coronary intervention. Successful management of these patients demands a highly coordinated effort among emergency medical services, the emergency department, and cardiology. This issue highlights the importance of recognizing distinct electrocardiographic patterns that represent acute coronary occlusion, even in the absence of traditional STEMI criteria, and reviews evidence-based management recommendations.