JEAN VIALLET, M.D.
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To the editor: The February issue includes an article by Little and colleagues (1) and an abstract in the "From Other Pages" section (2) that address the question of the significance of reciprocal ST-segment depression during acute myocardial infarction. The data presented by these authors indeed support their conclusion that in the small groups of patients they studied, these changes represented an electrical phenomenon rather than ischemia at a distance from the infarct zone. I believe, however, that the editorial comment accompanying the abstract, which states that "these results negate the idea that reciprocal ST-segmented depression in acute infarcts suggests
VIALLET J. Reciprocal ST-Segment Depression. Ann Intern Med. ;100:767–768. doi: 10.7326/0003-4819-100-5-767_2
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Published: Ann Intern Med. 1984;100(5):767-768.
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