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Updated: Dec 22, 2025

Real-Time Cardiac Mapping with a Noninvasive Imageless Electrocardiographic Imaging System
Published on: April 11, 2025
Anterior wall ST-elevation myocardial infarction in biventricular paced rhythm
David Pilecky1, Robert Fischer2, Tanja Wiesinger2
1Department of Internal Medicine III, Klinikum Passau, Innstraße 76, 94032, Passau, Germany. pileckyd@gmail.com.
Abstract:
There is a lack of evidence on electrocardiographic criteria for ST-elevation myocardial infarction (STEMI) in patients with biventricular paced rhythm. In all previous case reports of STEMI in biventricular paced rhythm, concordant ST-elevations and/or discordant ST-elevations >5 mm were present. This report describes the case of a patient with anterior STEMI and discordant ST-elevations of less than 5 mm during biventricular stimulation with epicardial left ventricular lead and highlights the importance of comparing the electrocardiogram to previous recordings when STEMI is suspected.
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