Electrocardiographic changes beyond ST elevation in the differentiation of ischemic and non-ischemic ST elevation in patients with chest pain

Reciprocal ST depression, PR depression in the chest leads and terminal QRS distortion may improve detection of true STEMI. Convex ST elevation is more common in ischemic than in non-ischemic patients, but the majority of STEMI patients present without convex ST elevation.

Thomas Lindow, Olle Pahlm, Ardavan Khoshnood, Ingvar Nyman, Daniel Manna, Henrik Engblom, Ulf Ekelund


International Society for Holter and Noninvasive Electrocardiology and Serbian Neurocardiological Society, International Congress on Electrocardiology, Belgrade