case_images: PMC4407619_01
case_images: Dynamic T wave changes on ECG. (a) Upright T wave in lead aVL (black arrows, old ECG); (b) T wave flattening and early inversion in lead aVL (orange arrows, ECG at presentation); (c) TWI in lead aVL (red arrows, repeat ECG) and biphasic T waves in leads V2 and V3 (green arrows).
case_images: EMI2015-250614.003.jpg
case_images: PMC4407619_01_EMI2015-250614.003.jpg
case_images: fig3
case_images: T wave flattening in lead aVL (Figure 3(b)). The chest radiography was unremarkable. The repeat ECG showed sinus rhythm at 62 beats per minute with TWI in lead aVL along with biphasic T waves in leads V2 and V3 (Figure 3(c)). T wave in lead aVL (Figure 3(a)). The patient was taken to the angiography suite and underwent a coronary angiogram.
case_images: Coronary angiography. (a) Mid-LAD lesion (red arrow) and no proximal LAD abnormality: (b) after placement of stent.
case_images: EMI2015-250614.004.jpg
case_images: PMC4407619_01_EMI2015-250614.004.jpg
case_images: fig4
case_images: Angiography revealed a 99% mid-LAD lesion and he received a stent (Figures 4(a) and 4(b)).
case_images: Follow-up ECG: patient returned to the cardiology office and his repeat ECG demonstrated the upright T waves in lead aVL after the stent placement.
case_images: EMI2015-250614.005.jpg
case_images: PMC4407619_01_EMI2015-250614.005.jpg
case_images: fig5
case_images: He remained symptom-free and on the follow-up clinic visit his ECG normalized with upright T waves in lead aVL (Figure 5).