Is this ST depression due to OMI or due to subendocardial ischemia? This is critical to distinguish, and this is a trick case!
Dr. Smith's ECG Blog
NOVEMBER 15, 2021
We just today published this very important article in the Journal of the American Heart Association: Ischemic ST‐Segment Depression Maximal in V1–V4 (Versus V5–V6) of Any Amplitude Is Specific for Occlusion Myocardial Infarction (Versus Nonocclusive Ischemia) full text: [link] However, if the patient has atrial fibrillation with RVR, one must first cardiovert and then re-assess.
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