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A man in his 70s with acute chest pain and paced rhythm.

Dr. Smith's ECG Blog

LAFB, atrial flutter, anterolateral STEMI(+) OMI. 8 , 9 The most recent American College of Cardiology and American Heart Association ST-elevation myocardial infarction (STEMI) guidelines (2013) give no direction on diagnosing occlusion myocardial infarction in patients with ventricular paced rhythm.