- HPI: 85M with CAD p/w 3hr chest pain radiating to L-arm
- Cath: 90% RCA occlusion. Troponin rose from 600 to 17,000 ng/L
- Key ECG: Inferior hyperacute T waves (broad based, symmetric, tall relative to the QRS). Reciprocal ST depression and T wave inversion in aVL (and I), which is highly specific for inferior OMI. Primary anterior ST depression, which is posterior OMI until proven otherwise
- Link to full case @ Dr. Smith’s ECG Blog: 2023-03-24