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Variant ECG pattern associated with acute proximal left anterior descending occlusion
  1. Andrew Whittaker,
  2. John Rawlins,
  3. Ali Dana
  1. Queen Alexandra Hospital, Portsmouth, UK
  1. Correspondence to Dr Ali Dana, Consultant Cardiologist, Queen Alexandra Hospital, Southwick Hill Road, Cosham, Portsmouth PO6 3LY, UK; ali.dana{at}

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Primary percutaneous coronary intervention is the gold-standard treatment for acute coronary artery occlusion. This is primarily diagnosed by ST segment elevation on an ECG accompanying ischaemic-sounding chest pain. The presence of classic ECG changes is the main trigger for catheter lab activation and plays a fundamental role in the timely delivery of reperfusion treatment. …

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