Minimal Criteria For Anterior Infarct Are No Longer Present

The statement implies a — usually from an old ECG to a current one.

| Pitfall | Why it’s dangerous | |---------|---------------------| | Assuming “no criteria” means “no infarct” | Up to 20% of prior anterior MIs lose ECG criteria over 5 years. | | Ignoring fQRS | Fragmented QRS has similar prognostic value as Q waves for scar. | | Applying statement to acute chest pain | In acute setting, loss of old criteria is irrelevant. New ST changes dominate. | | Missing lead misplacement | Moving V2 down 1 space can create or erase Q waves. | minimal criteria for anterior infarct are no longer present

When faced with an ECG report stating minimal criteria are no longer present, the clinician should adopt a structured response: The statement implies a — usually from an