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Acute coronary syndromes
Persistent precordial “hyperacute” T-waves signify proximal left anterior descending artery occlusion
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  • Published on:
    A "New" ECG Sign of Proximal LAD Occlusion?
    • Kjell C. Nikus, MD, Cardiologist
    • Other Contributors:
      • Markku J. Eskola ,and Samuel Sclarovsky

    TO THE EDITOR: Verouden et al. incorrectly report (1) the ECG finding of ST-segment depression (measured at the J-point) and tall, positive symmetrical T waves as a "new" sign of proximal LAD occlusion. In 1947, Dressler and Roesler published a case with the aforementioned ECG pattern in the precordial leads (2). Repeat ECGs showed progression to a typical anteroseptal Q-wave myocardial infarction. The ECG pattern of ST-...

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