Abstract
Objective: To evaluate what publications have been dealing with about the importance of early recognition of different electrocardiographic patterns, more specifically the equivalents of ST-segment Supra Acute Myocardial Infarction (IAMCSST/STEMI). Methods: This is an integrative review, with a time frame between 2010 and 2020. To prepare the review, a guiding question was established: “what is the importance of recognizing the equivalent electrocardiographic patterns of STEMI?”. For data search, the Virtual Health Library and Pubmed were used and they were associated with the descriptors in Portuguese and English “ST Elevation Myocardial Infarction equivalent”, “Electrocardiography” and “Electrocardiography patterns”. For collection and analysis, repeated articles were excluded, with subsequent full reading. Results: From the analysis of the 22 selected publications, it is recognized that the evaluation of the different electrocardiographic patterns are below what is considered ideal, the time for prompt interpretation of the exam is late and the changes in the STEMI equivalents were shown to be subtle changes that go unnoticed by inexperienced professionals. Final considerations: STEMI equivalent patterns are poorly recognized in ECG interpretation and mostly present a high mortality rate associated with a poor prognosis. It is necessary that the health professional has access to information on electrocardiographic drawings in full..