    LMCA occlusion: High incidence of cardiogenic shock, need immediate PCI +/- CABG, not tPA.  LAD-D1 occlusion pattern: Highly predictive (89% PPV) of anterior wall MI.    Posterior wall MI: True STEMI, can be easily missed if isolated (ECG #3). May get leads V7,8,9 for confirmation. Inferior wall STEMI also noted in ECG #1 and #2.   Wellens' syndrome: Subacute critical occlusion of proximal LAD or mid-LAD. Avoid excercise stress test.  De Winter's T: Anterior STEMI equivalent due to acute proximal LAD occlusion. References: http://rebelem.com/five-ecg-patterns-you-must-know/ http://lifeinthefastlane.com/ http://www.slideshare.net/MohamedHamoda/stemi-equivalents   Comments are closed.
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