For a more detailed discussion of the clinical case, please see the associated post on Dr. Smith’s ECG Blog.
In brief, a 62 year old woman presented with acute chest pain. Her initial ECG was not diagnostic, and she was started on ACS treatment with plan for cath the following day. While awaiting cath, she suffered VF arrest. Here is her post arrest ECG:
And her angiogram is below. What do you think is the culprit for the OMI?
LAO cranial
RAO cranial
LAO caudal
RAO cranial
AP caudal
Screen Recording 2025-03-19 at 6.48.40 PM.mov
See what you can discern from this clip before watching a narrated explanation I made: