- HPI: 60F with 3hr acute chest pain
- Cath: D3 has a 95% tubular ostial stenosis. (Culprit, stented)
- Key ECG: There is ST elevation in I and aVL, with inferior reciprocal ST depression in all of II, III, and aVF, and a down-up T-wave in aVF (a sign that is very specific for ischemia). There is also ST depression in V3-V6. This ECG is highly suggestive of ischemia.
- Link to full case @ Dr. Smith’s ECG Blog: 2014-05-12