
- HPI: 77M with acute chest pain a/w nausea, vomiting, diaphoresis x 2 hours
- Cath: 100% distal LAD occlusion
- Key ECG: It is clear that the T-waves in V4-V6 are hyperacute. They are far too large for the QRS. T-waves should be proportional to the QRS. If they are too large, you must suspect hyperacute T-waves and aggressively evaluate the patient with at least a high quality emergent echocardiogram
- Link to full case @ Dr. Smith’s ECG Blog: 2014-11-26