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Supports caution with atypical presentations; leaves open need for modern validation of ECG-centric diagnosis.
A CUTE myocardial infarction as a complication of coronary atherosclerosis is one of the most frequent diseases encountered. The incidence with which this catastrophic medical event is seen in clinical practice is increasing as a consequence of the aging population. Although the accuracy of diagnosis does not present a problem in the majority of cases, it is frequently challenging in individual cases that may be considered atypical. The electrocardiogram has been the mainstay of diagnosis, and when properly interpreted it may be expected to yield a correct diagnosis in 8 out of 10 cases.1 , 2 Skill in the interpretation of electrocardiograms, . . .
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Snodgrass et al. (1959) studied this question.
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