🚨 Suggestive of OMI:
- STD maximal in leads V1-V4
- This is in contrast to if STD is maximal out to V5 and V6 which may indicate severe supply-demand imbalance due to critical multivessel or left main acute coronary syndrome, hypovolemia or severe anemia which may not indicate acute coronary occlusion
- STE in posterior leads V7-V9