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Case Reports
. 2012 Apr;14(4):609-11.
doi: 10.1093/europace/eur320. Epub 2011 Oct 2.

ST-elevation during biventricular pacing

Christian Ukena  1 , Felix Mahfoud, Axel Buob, Michael Böhm, Hans-Ruprecht Neuberger
Affiliations
Case Reports

ST-elevation during biventricular pacing

Christian Ukena et al. Europace. 2012 Apr.

Abstract

Pacemakers devaluate the accuracy of the electrocardiogram (ECG) for the diagnosis of myocardial ischaemia. We present the case of a 53-year-old man with ischaemic cardiomyopathy and acute chest pain. Besides biventricular pacing, new ST-segment elevations were present leading to the diagnosis of myocardial infarction. However, no ECG criteria for the diagnosis of myocardial ischaemia in biventricular-paced rhythm are available.

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