Inferior STEMI in a 62-year-old Male
🏥 Clinical Context
A 62-year-old male presents to the emergency department with sudden-onset chest pain radiating to the left arm. Pain started 45 minutes prior to arrival. He is diaphoretic and hypertensive.
🔍 Interpretation Steps
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Sinus rhythm at ~75 bpm
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ST elevation in leads II, III, aVF
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Reciprocal ST depression in I and aVL
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No evidence of bundle branch block
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No significant QT prolongation
📊 Final Diagnosis
Acute Inferior STEMI
🎓 Teaching Pearl
Reciprocal ST depression in aVL is a highly specific finding for inferior MI.