u/Itchy-Pollution2912

I am trying to get better at downsloping ST as I get flagged by cardiologist that my calls on down slopping are frequently wrong. I submitted report as up to 1mm of downslopping ST depression in v5 and v6.

Previous echo and holter of patient noted no issues.

At rest ST was above baseline. This was mid stress test, it also appeared like this during recovery and was back at resting baseline before end of recovery.

Any resource or approach techniques would be appreciated.

TLDR

I can’t wrap my head around why this is not down slopping ST depression. Cardiologist said it’s normal and I believe him but I can’t get my mind to compute and see past my error.