Reliability of the prediction of the location of the culprit lesion from the ECG in totally occluded arteries in case of single vessel disease

This paper deals with the reliability of algorithms predicting the location of the culprit lesion in a totally occluded coronary artery from a 12 lead ECG recording. Four commercial ECG analysis programs and two specific algorithms were evaluated. Five hundred well documented cases were used for testing. Evaluation of the results reveals that all algorithms perform suboptimal.