- HPI: 50M with substernal chest pain x 1 hr
- Cath: Prox LAD 99% s/p thrombectomy
- Key ECG: It is very suggestive of OMI, but difficult to tell whether it is 1) anterolateral with de Winter morphology, or instead 2) A combination of Aslanger’s pattern (inferior OMI with single lead STE in III and reciprocal STD in I, aVL, plus widespread STD of subendocardial ischemia) with posterior (V2 STD) and RV extension (V1 STE). In other words, does V2 indicate ST depression of posterior OMI? or is the ST depression and hyperacute T wave indicative of de Winter hyperacute OMI morphology of the anterior wall? It is difficult to tell, but either way: OMI needing reperfusion
- Link to full case @ Dr. Smith’s ECG Blog: 2022-09-22