
- HPI:35F with 2 days progressive chest pain which worsened acutely
- Cath: total thrombotic proximal LAD occlusion
- Key ECG: There is large STE in V1-V3, as well as aVL. There is STD in V5-6, II, III, and aVF. None of this is diagnostic for OMI. The T waves are questionably hyperacute in V1-V4, but the QRS is also very tall and dramatic.
- Link to full case @ Dr. Smith’s ECG Blog: 2022-08-15