Aneurysm Coronary Angiogram STEMI 
Dr. Smith's ECG Blog
DECEMBER 9, 2023
He has a history of STEMI and heart failure. The only alternative is old inferior MI with persistent ST-Elevation, or inferior aneurysm morphology. Inferior Aneurysm morphology is incredibly hard to differentiate from Acute OMI, but you should suspect it whenever there are well-formed inferior Q-waves. He had a prehospital ECG.
Dr. Smith's ECG Blog
JANUARY 9, 2023
50% of LAD STEMIs do not have reciprocal findings in inferior leads, and many LAD OMIs instead have STE and/or HATWs in inferior leads instead. The ECG easily meets STEMI criteria in all leads V2-V6, as well. Repeat CT angio chest (not CT coronary, unclear what protocol) showed possible LAD aneurysm and thrombus.
Expert insights. Personalized for you.
117 
Let's personalize your content