- HPI: 65F with upper back pain and mild chest pressure
- Cath: The proximal RCA was 100% occluded
- Key ECG: There are hyperacute T-waves in II, III, and aVF. Note T-wave inversion in aVL, which is the earliest finding in acute inferior STEMI, as well as in V2, suggesting posterior wall involvement
- Link to full case @ Dr. Smith’s ECG blog: 2011-06-16