Mid LAD Occlusion
EMS 12-Lead
AUGUST 20, 2024
A 50 y/o Male presented to the ED with new-onset chest discomfort. He reported no pertinent history (eg, HTN, HLD, DM, Smoking, etc). The initial Trop I returned <0.012 ng/mL. Here is the time-zero ECG. The critical features that immediately caught my attention were both the hyperacute T-wave in aVL, and the reciprocal down-up T-wave in III.
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