
- HPI: 60F with intermittent chest pain x 10 days
- Cath: Culprit lesion mid-LAD, 99% stenosis
- Key ECG: Sinus rhythm, normal QRS (except poor R wave progression), perhaps the tiniest possible STE in aVL, tiny STE in V2, awkwardly straight ST segment morphology in I and aVL and V2, concern for increased area under the T waves in aVL, V2, with reciprocal STD and negative hyperacute T waves in III and aVF. All very very subtle.
- Link to full case @ Dr. Smith’s ECG Blog: 2023-01-12