STEMI With Underlying Paced RhythmByUmer Feroze Malik, MD,Priya Nand, MD,Biljinder Chima, MDJuly 1st 2010According to the Sgarbossa criteria, the patient had an acute MI: ECG revealed a greater than 1-mm ST-segment depression in lead V2 and about 5-mm discordant ST-segment elevation in leads II, III, and aVF.