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Despite ongoing chest discomfort and an uptrending troponin, he never meets STEMI criteria. Free wall rupture, VSD, Dresslers Syndrome, chronic CHF, anatomic LV aneurysm, LV thrombus, stroke, etc). Despite having acute coronary occlusion by cath, his ECGs never met STEMI criteria. Teaching points: 1.
Even before we have clinical context, this ECG simply does not appear concerning for OMI, notwithstanding the machine's interpretation ** ** ACUTE MI / STEMI ** **. But in the world of STEMI, this is a challenging ECG to most. There were 80 positives by STEMI criteria, 88 by device algorithm, and 77 by AI software.
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