- HPI: 60M with CAD awoken from sleep by severe epigastric/substernal pain
- Cath: 100% thrombotic occlusion of the mid LAD, at the site of his prior LAD stent
- Key ECG: There is sinus rhythm with overall normal QRS complexes, normal R wave progression. There is STE in V2-V4, maximal in V3. The T wave in V3 and V4 is likely hyperacute, as it is fat, broad, full, and nearly symmetric in V4. A prior ECG, if available as in this case, would help to confirm or deny whether these are truly hyperacute.
- Link to full case @ Dr. Smith’s ECG Blog: 2021-10-05