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How is ST elevation/depression measured? How much indicates cardiac ischemia?


When doing EKG monitoring, how much ST depression or elevation indicates that the myocardium is ischemic?

ST elevation / depression is measured with respect to the TP segment. 1 mm ST elevation and 0.5 mm ST depression are significant.

Not all ST elevation / depression is indicated cardiac ischemia.

Some people when taking a medication or counter drugs can cause that too.

Like my case wpw syndrome is always associated with ST elevation / depression. The ECG print out can show "possibly acute inferior myocardial Infarction" as well. But I'm not in cardiac ischemia.

1mm of elevation

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