- HPI: 50M with 2hr chest pain
- Cath: total thrombotic occlusion (100%, TIMI 0 flow) of the First Obtuse Marginal (OM1)
- Key ECG: Sinus rhythm, Normal QRS complex, Hyperacute T waves in leads II, III, and aVF, reciprocal STD and T wave inversion in aVL, STD in V2-V4 (max in V3), Likely hyperacute T waves in V5 and V6 as well. This is highly suggestive for inferoposterolateral STEMI(-) OMI. There is always a small possibility of takotsubo or myocarditis, but this ECG is OMI until proven otherwise.
- Link to full case @ Dr. Smith’s ECG Blog: 2020-09-13