A 50-something with h/o coronary bypass has chest pain and a ventricular paced rhythm

Conclusions: ACO in VPR is an uncommon condition. The MSC showed good Sens for diagnosis of ACO in the presence of VPR, especially among patients with high peak cTn, and Spec was excellent. These methods and results are consistent with studies that have used the MSC to diagnose ACO in LBBB.
Source: Dr. Smith's ECG Blog - Category: Cardiology Authors: Source Type: blogs