Where Is the Culprit Lesion in the New Electrocardiogram Pattern?

Abstract

A patient in their 60s presented to the emergency department with paroxysmal chest pain. The chest pain had occurred 5 times during the day, and each episode lasted 15 to 30 minutes. On arrival, the patient's blood pressure and pulse rate were 106/52 mm Hg and 64 beats per minutes, respectively. Chest auscultation revealed normal breath and heart sounds with no murmurs. The patient's hemogram, serum electrolyte levels, kidney and liver func-

Where Is the Culprit Lesion in the New Electrocardiogram Pattern?

“…2 However, Drs Zhang and Xu describe the first item of the diagnostic criteria as STE in leads III and aVR but not in any other inferior lead. 1 And they did not explain the specific reason for including aVR, which may produce confusion for the reader. In fact, 2 other authors have specifically asked Aslanger and colleagues whether STE of aVR should be added to the diagnostic criteria of the Aslanger pattern.…”

“…Drs Zhang and Xu explained what they believed was the reason for the presence of the Aslanger pattern in the ECG results from the ST-vector orientation perspective. 1 They believed that the ST-vector caused by the subtotal occlusion of the left main coronary artery with the ST-vector caused by the right coronary artery occlusion formed a rightward horizontal ST-vector. This analysis is not rigorous because the angle between the horizontal ST-vector and ST-segment of aVF should be exactly 90°.…”

“…Therefore, we believe that the To the Editor We appreciate the insightful comments by Drs Zhai and Zhai regarding our article. 1 We would like to thank the authors and provide clarification regarding a few points.…”

“…Most (62%) cancer center websites omit the potential harms of prostate cancer screening, almost all omit the potential harms of mammography, and 52% do not mention the potential harms of lung cancer screening. 1,3 Although we agree that cancer center websites are not the sole tool used by patients to decide on cancer screening, partial or incomplete information does not do the public a service.…”

“…Our studies and others have shown that the language used to describe the risks and benefits of prostate, breast, and lung cancer screening is often asymmetric and incomplete. [1][2][3] The benefits tend to be overstated, while the risks are not mentioned at all. Most (62%) cancer center websites omit the potential harms of prostate cancer screening, almost all omit the potential harms of mammography, and 52% do not mention the potential harms of lung cancer screening.…”