Table 6. ECG findings useful for establishing the likelihood
of coronary artery disease
Finding Most likely cause Alternate causes
_____________________________________________________________
ST-segment Acute MI Acute
elevation >e;1 mm pericarditis
in two or more Early
contiguous leads repolarization
Left ventricular
aneurysm
Coronary spasm
_____________________________________________________________
ST-segment Ischemia or acute MI Normal heart
depression >e;1 Hyperventilation
mm LV hypertrophy
with strain
Digitalis
Hypokalemia
Hypomagnesemia
_____________________________________________________________
Inverted T-waves Ischemia or acute MI Normal heart
in two or more Central nervous
contiguous leads system disease
(>e;1 mm in leads Hypertrophic
with dominant R cardiomyopathy
waves, or marked
symmetrical precordial
T-wave inversion)