ST segment elevation in acute myocardial ischemia

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ST segment elevation in acute myocardial ischemia


ST segment elevations with straight (horizontal, upsloping or downsloping) or convex ST segment strongly suggest acute transmural ischemia (Figure 1 A). Concave ST segment elevations, on the other hand, are much less likely to be caused by ischemia (Figure 1 B). This is noted in both North American and European guidelines. However, a concave ST segment does not rule out ischemia, it merely reduces the probability of ischemia as the underlying cause. Concave ST segment elevations are actually very common in the population (discussed below).


#Diagnosis #Cardiology #ECG #EKG #STEMI #STElevation #Ischemic #Patterns
Contributed by

Dr. Gerald Diaz
@GeraldMD
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG:  https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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