- HPI: 40 M p/w substernal chest pain
- Cath: 99% LAD thrombus s/p successful stent
- Key ECG: The T-waves are hyperacute, but most important, the minimal ST Elevation is accompanied by Terminal QRS Distortion, or at least nearly so. The ST Elevation in V2 and V3 is NEVER normal if it is accompanied by terminal QRS distortion, as defined by absence of S-wave and J-wave in EITHER V2 or V3. There is absence of both in V3 here (although one of the complexes in V3 has a tiny S-wave).
- Link to full case @ Dr. Smith’s ECG Blog: 2022-02-04