- HPI: Acute chest pain
- Cath: 100% thrombotic occlusion of the (very large) proximal segment of OM1
- Key ECG: There is a tiny amount of STE in the inferior leads, with lead III having possibly a large T-wave compared to its QRS complex. Lead aVL clinches the diagnosis with a very small normal QRS complex followed by minimal ST depression and a proportionally massively inverted T-wave.Lead I also shows reciprocal STD. There is STD in V2-V4 which suggests posterior involvement. This ECG is suggestive of acute coronary occlusion affecting the inferior and posterior walls.
- Link to full case @ Dr. Smith’s ECG Blog: 2018-02-01