Case 10

Diagnosis
aVR Sign
Key Characteristics
​•Elevation in aVR > 1 mm
•Elevation in aVR > V1
•Lateral depressions
Causes
​•80% specific for severe LMCA occlusion
•Also suggests severe multivessel disease
Treatment
​•Activate Cath Lab
•ASA, Heparin, Statin, Oxygen, Nitro, Beta blocker
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