The left circumflex artery is less frequently the culprit vessel in STEMI compared to NSTEMI and stable angina, potentially due to lower longitudinal strain making its plaques less prone to rupture.
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LCx underrepresentation limited to STEMI; supports ECG detection bias but leaves open mechanisms in NSTEMI and stable angina.
Ghanim et al. (2017) studied this question.
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