Does the conventional ECG algorithm accurately diagnose RCA occlusion in patients with acute inferior STEMI undergoing primary PCI?
The conventional ECG algorithm has low sensitivity for identifying the RCA as the infarct-related artery in inferior STEMI, except when extensive ST-segment deviation is present.
The conventional ECG algorithm showed a low sensitivity for the non-invasive diagnosis of RCA occlusion in an all-comer, inferior STEMI cohort undergoing primary PCI. Sensitivity was only sufficient in patients with extensive ST-segment deviation.
Verouden et al. (Tue,) studied this question.
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