- HPI: 60M with acute 10/10 chest pain
- Cath: LCX proximal 99% stenosis with thrombus
- Key ECG: Slight STE in aVL, with upright hyperacute T wave, with reciprocal STD in the inferior leads and negative hyperacute T waves. Posterior involvement is suggested by STD in V3-V4, which is highly specific for posterior OMI in the setting of ACS and no QRS explanation (RVH, RBBB, etc.) for such STD.
- Link to full case @ Dr. Smith’s ECG Blog: 2021-12-01