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Editorial
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Volume 334:528-529 February 22, 1996 Number 8
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Acute Myocardial Infarction and Left Bundle-Branch Block — Can We Lift the Veil?

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When a patient presents to the emergency room with an acute episode of cardiac ischemia, the challenges for the physician are to determine whether the patient is having a myocardial infarction or has unstable angina and to determine the amount of myocardium at risk and the responsible coronary artery. That information will influence the decision to restore blood flow to the jeopardized area with thrombolytic agents or balloon angioplasty. In the acute phase of cardiac ischemia, the electrocardiogram is still the most important source of information to address these questions. Both the QRS complex and changes in the ST-T segment . . . [Full Text of this Article]

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Related Letters:

Electrocardiographic Diagnosis of Acute Myocardial Infarction in the Presence of Left Bundle-Branch Block
Ackermann R. J., Vogel R. L., Levenson J., Byrne J., Liron M., Sgarbossa E. B., Pinski S. L., Wagner G. S.
Extract | Full Text  
N Engl J Med 1996; 335:131-133, Jul 11, 1996. Correspondence

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