- Course: the patient ruled out for MI by serial troponin
- Key ECG: It is a scary ECG, with a lot of ST Elevation and what appear to be hyperacute T-waves in inferior leads, and profound reciprocal ST Depression in aVL. There are Q-waves in V4-V6, with what appear to be hyperacute T-waves. Any objective, rule-based analysis of this ECG would scream “STEMI” or “OMI”. The presence of deep, slender Q waves in so many leads — especially with the bizarre QrS morphology in leads V4,5,6 (with tiny r waves despite marked LVH in lead I) seems much more suggestive of some unusual form of underlying structural heart disease than of an acute MI pattern
- Link to full case @ Dr. Smith’s ECG blog: 2023-07-05