Unit 3: Ischemia Mimics and Subtle STEMI’s

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    1. Ginzton LE, Laks MM. The differential diagnosis of acute pericarditis from the normal variant: New electrocardiographic criteria. Circulation. 1982;65(5):1004- 1009. doi:10.1161/01.CIR.65.5.1004
    2. Wagner GS, Strauss DG. Marriott’s Practical Electrocardiography. 12th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2014.
    3. Haïssaguerre M, Derval N, Sacher F, et al. Sudden Cardiac Arrest Associated with Early Repolarization. N Engl J Med. 2008;358(19):2016-2023. doi:10.1056/NEJMoa071968
    4. Klein LR, Shroff GR, Beeman W, Smith SW. Electrocardiographic criteria to differentiate acute anterior ST-elevation myocardial infarction from left ventricular aneurysm. Am J Emerg Med. 2015;33(6):786-790. doi:10.1016/j.ajem.2015.03.044
    5. Kosuge M, Ebina T, Hibi K, et al. An early and simple predictor of severe left main and/or three-vessel disease in patients with nonst-segment elevation acute coronary syndrome. Am J Cardiol. 2011;107(4):495-500. doi:10.1016/j.amjcard.2010.10.005
    6. Ibanez B, James S, Agewall S, et al. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation. Eur Heart J. 2018;39(2):119-177. doi:10.1093/eurheartj/ehx393
    7. Knotts RJ, Wilson JM, Kim E, Huang HD, Birnbaum Y. Diffuse ST depression with ST elevation in aVR: Is this pattern specific for global ischemia due to left main coronary artery disease? J Electrocardiol. 2013;46(3):240-248. doi:10.1016/j.jelectrocard.2012.12.016
    8. Wagner GS, Macfarlane P, Wellens H, et al. AHA/ACCF/HRS Recommendations for the Standardization and Interpretation of the Electrocardiogram. Part V: Electrocardiogram Changes Associated With Cardiac Chamber Hypertrophy. Circulation. 2009;53(11):1003-1011. doi:10.1016/j.jacc.2008.12.016
    9. Thygesen K, Alpert JS, Jaffe AS, et al. Fourth Universal Definition of Myocardial Infarction (2018).; 2018. doi:10.1016/j.gheart.2018.08.004
    10. Macias M, Peachey J, Mattu A, Brady WJ. The electrocardiogram in the ACS patient: High-risk electrocardiographic presentations lacking anatomically oriented ST-segment elevation. Am J Emerg Med. 2016;34(3):611-617. doi:10.1016/j.ajem.2015.11.047