How does Acute Total Left Main Coronary occlusion present on the ECG?
Dr. Smith's ECG Blog
AUGUST 9, 2019
Below are 6 anecdotal cases of true complete left main occlusion with no collateral circulation: 3 have STE in aVR 1 has no ST shift in aVR 2 have STD in aVR The ECG can have a variety of presentations in LM Occlusion. You'll see that there is collateral circulation from the RCA. Widimsky P et al. Below is the angiogram.
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