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To the Editor: Versteylen et al1 recently evaluated several area at risk (AAR) methods in patients with acute ST elevation myocardial infarction using four physiological principles, and concluded that cardiac MRI methods outperform angiographic methods, which are better than ECG methods. However, this study used the antiquated Aldrich score, rather than the updated ECG index, described by Wilkins et al.2
The Aldrich score is based upon the extent of inferior ST elevation …