- HPI: 35F with chest pain, nausea, vomiting
- Cath: 95% LAD thrombotic culprit
- Key ECG: There is terminal QRS distortion in lead V3 (meaning there is neither a J-wave nor an S-wave). The QTc is 462 ms. Terminal QRS distortion is never seen in normal variant ST Elevation in anterior leads (so-called early repolarization). These are suspicious for hyperacute T-waves and anterior injury.
- Link to full case @ Dr. Smith’s ECG Blog: 2017-06-17