This ECG Dx should be immediately obvious to you. 2 questions?
- Does it involve the RV?
- Are there reciprocal changes?
- It DOES involve the RV because the STE is greater in III than II AND there is STD in lead I (RCA occlusion).
- The STD in AVL is the only reciprocal change for an IMI. Anterior reciprocal changes only occur in the presence of posterior involvement.