
- HPI: 50M awoke from sleep with “gas” pain
- Cath: complete proximal LAD occlusion
- Key ECG: This is classic de Winter pattern in V3 and V4 (depressed ST takeoff with hyperacute T-wave). V1-V4 have hyperacute T-waves. Reciprocal STD in inferior leads.
- Link to full case @ Dr. Smith’s ECG Blog: