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A simplified formula discriminating subtle anterior wall myocardial infarction from normal variant ST-segment elevation

American Journal of Cardiology Jul 26, 2018

Aslanger E, et al. - Researchers investigated whether a simpler visual-assessment-based formula namely (R-wave amplitude in lead V4 + QRS amplitude in V2) – (QT interval in millimeters + STE60 in V3) would be non-inferior to two recently proposed regression formulas for differentiating benign variant (BV) ST-segment elevation (STE) (BV-STE) from anterior ST-elevation myocardial infarction on the electrocardiogram, since the computation of these are heavily device dependent. They found that a simple visual-assessment-based formula enabled a reliable discrimination of STE myocardial infarction from BV-STE. Data also highlighted that, for diagnosing acute coronary occlusion, focusing only on STE is not sensitive, and this approach even puts the term “STEMI” itself into question.

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