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The hockey stick appearance on an ECG is primarily caused by **_acute myocardial ischemia_**, meaning a sudden and severe lack of blood supply to the heart muscle. This lack of blood flow, as previously mentioned, is usually due to a complete blockage in one of the coronary arteries. The blockage is typically caused by a blood clot (thrombus), which forms at the site of a ruptured plaque in the artery. This blockage prevents oxygen-rich blood from reaching a part of the heart muscle. The affected heart muscle cells become deprived of oxygen, leading to damage. The ST segment elevation, forming the "hockey stick" shape, reflects the injury and damage to the heart muscle. iaaj ke taaja samachar bbc london As the heart muscle cells are damaged, they release substances into the bloodstream. These substances can be measured through blood tests, such as cardiac troponin levels, which further confirm a heart attack. The specific location of the ST-segment elevation can also give clues as to which artery is blocked and which part of the heart is affected. For example, ST-segment elevation in the leads representing the anterior wall of the heart suggests a blockage in the left anterior descending (LAD) artery. The hockey stick appearance is a direct result of the lack of blood supply. It serves as a visual indicator of the underlying process. The quicker the diagnosis, the quicker treatment can begin.
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