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Beyond ST-elevation: A Case of Occlusion MI Confounded by ECG Criteria for Left Ventricular Hypertrophy

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By Bayushi Eka Putra, David Sim, Ignatius Yansen Ng, Judy Ranaweera
| japscjournal.com
Average (ratings) Abstract Presented here is the case of a 57-year-old man whose occlusion MI was initially missed due to a diagnostically challenging ECG. The initial tracing, confounded by high QRS voltage meeting criteria for left ventricular hypertrophy, showed prominent T waves but no definitive STelevation. A 12-hour delay in diagnosis led to cardiogenic shock, after which a repeat ECG showed subtle evolution that met formal ST-segment elevation MI criteria.
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