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Methods We reviewed a total of 106 unselected, consecutive patients who underwent CMR with DHE and had an EKG performed within 1 day of CMR. EKGs were screened for the presence of a Q wave and compared to those with a positive DHE regardless of the myocardial post-gadolinium pattern. Then we divided the patients into 3 subgroups: 1) one group with only positive DHE (DHE+) pattern of ischemia 2) the other group with other DHE (DHE+/-) patterns or 3) negative DHE (DHE-). Furthermore, we divided the ischemic group (DHE+) into transmural vs. endocardial.

Does DHE imaging insight into the inaccuracy of EKG's?