Wednesday, November 24, 2010

An easily missed inferior STEMI equivalent

---was presented a while back at Dr. Smith's ECG blog.

Inferiorly there were broad based upright T waves without frank ST elevation. In addition there was ST depression in AVL. The lesson here is that reciprocal ST depression in AVL may be the major clue to acute inferior MI.

This pattern, though probably under recognized, has been known for decades.

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