- HPI: 40M with chest pain x 1 hr
- Cath: 100% mRCA occlusion with TIMI 0 flow
- Key ECG: STE in II, III, and aVF (which probably barely does meet STEMI critiera) with hyperacute T waves in II, IIII, aVF and reciprocal negative hyperacute T-wave in aVL, with STD in V1-V2. Small R waves in II, III, aVF. This is suggestive of inferoposterior OMI. The most likely culprit vessel would be the RCA.
- Link to full case @ Dr. Smith’s ECG Blog: 2019-10-10