If a patient DOES NOT HAVE chest pain, or discomfort or jaw or arm pain but has ST elevation in 2 or more contiguous leads and reciprocal changes do you go to the Heart Institute?
The patient must have chest pain and signs of active ischemia compatible with an Acute Coronary event. The reason is that there are many STEMI impostors on an ECG: LLLB, old anterior wall MI, early repolarization in young, hyperkalemia and other metabolic disorders, etc. This prevents many overcalls. We also have a safety net, that if you go to the ED, and they find that it's a STEMI, then they will activate it and send them then. No fault on any part.