Recognition
- • Upsloping ST depression >1 mm at J-point V1–V6
- • Tall symmetric T waves in same leads
- • Slight ST elevation in aVR
Key findings
- • STEMI equivalent — acute proximal LAD occlusion
Clinical importance
- • Persistent (not evolving to ST↑)
Management pearls
- • Treat as STEMI — activate cath lab for PPCI
- • DAPT + heparin
