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Can you localize the culprit lesion on angiogram without taking ECG findings into account?

Dr. Smith's ECG Blog

In ACS, chest pain is the warning sign of ongoing ischemia. I have said before, treating angina with morphine and continuing non-emergent management is like taking the batteries out of an actively alarming smoke detector during a house fire and going back to sleep. It has some morphologic features of LVH, but not the voltage.