- HPI: 50M with acute chest pain and dyspnea x 45 min
- Cath: total thrombotic occlusion of the mid-LAD was opened and stented
- Key ECG: There is sinus rhythm with normal QRS complex except slightly sluggish R wave progression (this is due to acute LAD OMI, diminishing the R wave voltage in its distribution). We see STE in V2-V4, and a hint of STE in II, III, and aVF. Hyperacute T waves are present in V2-V4, and II, III, and aVF.
- Link to full case @ Dr. Smith’s ECG Blog: 2022-02-12