IMG_0675

Dx: Posterior wall STEMI

• describe

  sinus tachycardia rate 100

  RAD

  STD in V2-3 with prominent R wave in V2 — posterior wall STEMI

  STE dose not seen in inferior lead, but we have seen inverse T, with the reciprocal STD in lead I, aVL

  imp — isolate? posterior wall STEMI, RCA occlusion

  **

  this need to be differentiate from De winter pattern — by upsloping STD and tall T wave