- HPI: 46 yo male with acute onset of chest pain
- 3V score: 24.1 (>21 favors OMI)
- Cath: 100% proximal thrombotic LAD occlusion with TIMI-0 flow. It was opened and stented
- Key ECG: When the DDx is Anterior MI vs BER, a simple rule is the R-wave rule: which depends on the fact that, in BER, the R-wave is always well developed
- Link to full case @ Dr. Smith’s ECG Blog: 2009-06-10