Recognition
- • Biphasic (type A) or deeply inverted (type B) T waves in V2–V3
- • During pain-free interval after episode of chest pain
- • No Q waves, preserved R waves
Key findings
- • Critical proximal LAD stenosis
- • Troponin often only mildly elevated
Clinical importance
- • High risk of extensive anterior MI within days if untreated
Management pearls
- • Admit + DAPT + heparin
- • Angiography — do NOT stress-test (may precipitate MI)
