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Isolated posterior ST-elevation myocardial infarction: the necessity of routine 15-lead electrocardiography: a case series.

Mochamad Yusuf AlsagaffRizki AmaliaBudi Baktijasa DharmadjatiYolande Appelman
Published in: Journal of medical case reports (2022)
Isolated posterior myocardial infarction is a rare but potentially fatal event that is often accompanied by atypical and subtle changes on 12-lead electrocardiography (especially in the V1-V3 precordial leads) and may remain undetected by physicians. Therefore, the comprehensive and routine application of posterior leads is a crucial addition to the standard diagnosis and management of acute coronary syndrome in patients with subtle ST-segment changes who do not fulfill the criteria for ST-elevation myocardial infarction.
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