3min chapter

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Episode 20 - STEMI

The Curious Clinicians

CHAPTER

EKG Tracings in Trans-Metal Ischemia

The ST segment actually only appears elevated because the baseline of the other EKG segments has been shifted down. And honestly, you know, and so the ST elevation is really the only one that's just not depressed, essentially. So we have, we have these KATP channels that are stuck open. We get to repolarization faster, essentially. And now we have this relative current that's flowing from the ischemic myocardium to the non- ischemicMyocardium. Where are the ST elevations? We're going to keep asking you, Avi, until you tell us.

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