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90 year old with acute chest and epigastric pain, and diffuse ST depression with reciprocal STE in aVR: activate the cath lab?

Dr. Smith's ECG Blog

Incidence of an acute coronary occlusion. New insights into the use of the 12-lead electrocardiogram for diagnosing acute myocardial infarction in the emergency department. We investigated the incidence of an acutely occluded coronary in patients presenting with STE-aVR with multi-lead ST depression.