ECG 11. The ECG above belongs to a 64 years-old woman slow flow in the LAD coronary artery.
Leads V3 to V6 show negative T waves: not typical for myocardial ischemia or strain pattern.
Asymmetrically negative T waves are not typical for myocardial ischemia.
Isolated left ventricular strain pattern does not involve leads V3 and V4.
In addition, no sign of increased voltage for left ventricular hypertrophy is seen.

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ECG 12. The compact ECG above, belongs to a 50 years-old man with coronary artery ectasia and coronary slow flow
phenomenon. Leads V2 to V6 show negative T waves. Obesity increases the risk for coronary slow flow phenomenon.





ECG 13. The compact ECG above, belongs to a 40 years-old man with coronary artery ectasia and significant slow flow in the
LAD coronary artery. He was complaining of retrosternal severe chest pain but he was found to have no coronary stenosis.
Peaked T waves and ST elevation in anterior leads may suggest anterior myocardial infarction at first glance.





ECG 14. The above ECG is from a 65 years-old woman with prominent slow flow in her coronary arteries.
All leads except lead aVR show negative T waves.

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ECG 15. The above ECG is from a 73 years-old hypertensive woman with prominent slow flow in her right coronary artery.
Extensive ST segment depression is seen. No obstructive coronary artery disease was detected at coronary angiography.





ECG 16. The above ECG is from a 59 years-old man with hypertension and prominent slow flow in his coronary arteries.
Limb leads show low voltage. There is interatrial block. PR interval is also prolonged (1st degree AV block).
Leads V1 to V4 show negative T waves and minimal ST segment depression.
Despite the absence of beta blocker or non-dihydropyridine type calcium channel blockers, his heart rate is low.

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ECG 17. The ECG above belongs to a 62 years-old woman with systemic arterial hypertension.
Her coronary angiogram showed only slow flow.
Leads V3 to V6 show ST segment depression. This patient is not taking Digoxin.

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ECG 18. The ECG above belongs to a 56 years-old hypertensive man with a normal ECHOcardiogram.
His coronary angiogram showed only slow flow.
Right precordial leads show asymmetrically negative T waves.
Chest leads also show minimal ST segment depression.

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ECG 19a. The ECG above belongs to a 44 years-old woman with systemic arterial hypertension.
Her coronary angiogram showed slow flow.
Leads V3 to V6 show ST segment depression.

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ECG 19b. The ECG above belongs to the same woman and was recorded 3 days later.
No ST segment depression is seen now.

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