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Question

Which ECG change is most commonly associated with myocardial ischemia?

This question was previously asked in
RRB Paramedical 2025 Nursing Superintendent Question Paper PDF (12-Mar-2026) (Shift 3)
The correct answer is

ST segment depression

Classical myocardial ischaemia on the ECG shows horizontal or down-sloping ST-segment depression of at least 1 mm, 60–80 ms past the J point, in leads overlying the ischaemic territory — most commonly seen during exercise, angina or demand ischaemia.

U waves (hypokalaemia), tall T waves (acute hyperkalaemia or very early STEMI) and prolonged QT (electrolyte or drug effects) are not the most common and specific ECG marker of ischaemia.

Hence, ST segment depression.

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Similar Questions

  1. A patient presents with chest pain and ST elevation in leads II, III, and aVF. According to the universal definition of MI, which coronary artery is most likely involved, and what is the ECG diagnosis?

  2. Which ECG change is most characteristic of an acute myocardial infarction?

  3. Which segment is primarily analyzed to diagnose an ST-elevation myocardial infarction (STEMI)?

  4. What is a typical ECG finding in patients with cerebral infarct?

  5. In the context of CVS monitoring, which finding in myxedema patients could be explained by their ECG pattern?

  6. Which combination of symptoms and ECG findings is most indicative of myocardial infarction?

  7. Which ECG finding most reliably indicates myocardial ischemia rather than established myocardial infarction?

  8. Which ECG change is most commonly seen during an episode of angina pectoris?

  9. During continuous ECG monitoring following subarachnoid hemorrhage, transient deep T-wave inversions are most accurately explained by which underlying mechanism?

  10. During an acute myocardial infarction, which change in coronary circulation most directly impairs myocardial function?


Important Questions from Introduction to Cardiovascular Diseases

  1. A patient presents with chest pain and ST elevation in leads II, III, and aVF. According to the universal definition of MI, which coronary artery is most likely involved, and what is the ECG diagnosis?

  2. Which ECG change is most characteristic of an acute myocardial infarction?

  3. Which segment is primarily analyzed to diagnose an ST-elevation myocardial infarction (STEMI)?

  4. What is a typical ECG finding in patients with cerebral infarct?

  5. In the context of CVS monitoring, which finding in myxedema patients could be explained by their ECG pattern?

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