Abstract

Sir, Although stigmata such as the occurence of ST-segment elevation (STE) in lead aVR, with concurrent ST-segment depression in leads II, III, aVF, and V3–V6, are highly suggestive of left main stem (LMS) occlusion,1 and were indeed present, in part, in the recently reported case,2 they also occur in left anterior descending (LAD) coronary artery occlusion,3,4 and, to a lesser extent, also in left circumflex artery occlusion,4 thereby justifying urgent triage for percutaneous intervention in virtually all patients with acute coronary syndrome characterized, as …

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