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ST depression in lead AVL differentiates inferior ST-elevation myocardialinfarction from pericarditis. Ischemic ST-segment depression maximal in V1-4 (versus V5-6) of any amplitude is specific for occlusion myocardialinfarction (versus nonocclusive ischemia). Am J Emerg Med 2016 5. Meyers et al. Herman et al.
Appearance of abnormal Q waves early in the course of acute myocardialinfarction: implications for efficacy of thrombolytic therapy. MYOCARDIAL RUPTURE AND POSTINFARCTION REGIONAL PERICARDITIS KEY POINTS · Myocardial rupture occurs in 1 to 1.5% Myocardial Rupture and Postinfarction Pericarditis.
As myocardialinfarction (MI) and many other diagnoses (for example left ventricular hypertrophy, prior MI etc.) can cause ST-segment elevation (STE) on electrocardiogram (ECG), the distinction between them may be hard and complicated.
The initial computer and final cardiology interpretation was a differential: “ST elevation, consider early repolarization, pericarditis, or injury.” Emergency department Code STEMI patients with initial electrocardiogram labeled ‘normal’ by computer interpretation: a 7-year retrospective review. McLaren, Meyers, Smith and Chartier.
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