60-something with h/o Coronary Bypass has acute chest pain
Dr. Smith's ECG Blog
JUNE 12, 2025
A 60-something with h/o Coronary Bypass called 911 for acute chest pain. Here is the first prehospital ECG: What do you think? There is minimal ST Elevation in inferior leads which could easily be normal. However, aVL has minimal STD supportive of the diagnosis of OMI. More importantly, the ST depression in V2-4 is diagnostic of posterior OMI. There is a hyperacute T-wave in V6, which is the lateral part of the posterior wall and a common supportive finding in posterior OMI.
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