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Reason for ST segment elevation in AMI. Thursday, May 28, 2015. I have started a youtube channel under the name BirtamodSurgeon. The link to my videos uploaded so far are. Monday, January 28, 2008. Why should ST segment elevate in MI and depress in myocardial ischemia? And infarction are similar processes of varying severity, ST segment depression indicates ischemia. Has negative charge as QRS.