ST Segment - Interpretation

Interpretation

  • The normal ST segment has a slight upward concavity.
  • Flat, downsloping, or depressed ST segments may indicate coronary ischemia.
  • ST elevation may indicate myocardial infarction. An elevation of >1mm and longer than 80 milliseconds following the J-point. This measure has a false positive rate of 15-20% (which is slightly higher in women than men) and a false negative rate of 20-30%.
  • ST depression may be associated with hypokalemia or digitalis toxicity.

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