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There is appreciable STE aVR with near-global STD that appropriately maximizes in Leads II and V5, and thus suggesting a circumstance of generic, diffusely populated, circumferential subendocardial ischemia versus occlusive coronary thrombus. [1] It’s judicious, then, to arrange for coronaryangiogram. Does the ECG normalize?
During observation in the ED the patient had multiple self-terminating runs of Non-Sustained monomorphic Ventricular Tachycardia (NSVT). CT coronaryangiogram showed a hypoplastic RCA and dominant LCx. This patient very likely has some form of idiopathic ventricular tachycardia. No PVCs are seen.
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