INTRODUCTION:Electrocardiogram is a fundamental tool for diagnosis, identification, prognosis and also managing the patients with suspected myocardial infarction (chest pain). METHOD: Electrocardiography is used to localizing the culprit vessel in acute ST elevation myocardial infarction (STEMI) and to diagnose the accuracy of electrocardiogram (ECG) findings by comparing them with the coronary angiographic findings. In acute ST elevation myocardial infarction (STEMI). RESULTS: Correlation of ST segment elevation on the 12 lead ECG with the affected coronary artery is established in patients with ST elevation myocardial infarction. AWMI with LAD obstruction has proximal, mid and distal which is highly elevated when compared with IWMI of RCA obstruction, LCX obstruction with IWMI+RVMI. CONCLUSION: Overall, ECG is still a valuable tool in acute
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