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	<title>Heart pearls! &#187; LMCA</title>
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		<title>When do you suspect left main coronary artery disease from the ECG?</title>
		<link>http://www.heartpearls.com/2009/06/when-do-you-suspect-left-main-coronary-artery-disease-from-the-ecg.html</link>
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		<pubDate>Wed, 03 Jun 2009 01:53:26 +0000</pubDate>
		<dc:creator>Dr Jayachandran Thejus MD</dc:creator>
				<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[ECG]]></category>
		<category><![CDATA[LMCA]]></category>

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		<description><![CDATA[Left main disease is missed in ECG unless carefully looked for.]]></description>
			<content:encoded><![CDATA[<p>Left main coronary artery disease is suspected from the ECG when we see-</p>
<p>1. ST elevation in aVR.</p>
<p>2. ST depression in leads I and II and in leads v4 to v6.</p>
<p>3. Sum of ST changes is 18 mm or more.</p>
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