A 29 year old male with chest pain, ST Elevation, and very elevated troponin T
Dr. Smith's ECG Blog
APRIL 9, 2024
Dr. Smith's top 2 most important features for differentiating OMI from Pericarditis are 1) absence of reciprocal ST depression in any lead except aVR and 2) "flat" ST segments, meaning without large T-waves, perhaps more specifically stated as a low T/ST ratio. Each category is subdivided into three levels of confidence.
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