- HPI:50M on medical ward developed acute chest pain
- Cath: 100% RCA occlusion, with peak troponin I over 10,000 ng/L
- Key ECG:Lead aVL jumps out as abnormal because there is a discordant T wave inversion and mild ST depression. This is reciprocal to inferior mild ST elevation and hyperacute T waves (wide based, bulky, and symmetric, and in III taller than the QRS complex), and adjacent to ST depression in V2. This is highly suggestive of inferoposterior OMI.
- Link to full case @ Dr. Smith’s ECG Blog: 2023-04-21