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This ECG was recorded on a middle-aged male with sicklecelldisease and diffuse pain. found that such ECG findings only represented left main ACS in 14% of such ECGs: Only 23% of patients with the aVR STE pattern had any LM disease (fewer if defined as 50% stenosis). What do you think? J Electrocardiol 2013;46:240-8.
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