- HPI: middle aged man had sudden chest pain
- Cath: 100% acute thrombotic LAD occlusion was opened and stented
- Key ECG: The concern without context would be possible LAD OMI signs. There is poor R wave progression, slight STE, hyperacute T waves in V2-V5, reciprocal STD in inferior leads. By itself — The poor R wave progression we see in Figure-1 would not be diagnostic of acute OMI. But in association with the ST-T wave changes seen on this tracing — this clearly adds further support of an acute event in progress
- Link to full case @ Dr. Smith’s ECG Blog: