- HPI: 60M presenting with acute chest tightness
- Cath: 100% mid-thrombotic occlusion – stented
- Key ECG: Terminal QRS distortion (TQRSD) in V3 and perhaps almost also V4. TQRSD means absence of BOTH S-wave and J-wave in EITHER of leads V2 or V3 — this is never seen in normal ST Elevation
- Link to full case @ Dr. Smith’s ECG Blog: 2021-08-19