A week before acquiring this EKG, the patient, an overweight | Figure 1

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Emergency Medicine

A week before acquiring this EKG, the patient, an overweight man in late 60s, not on any medication for any conditions, experienced severe ‘stomach’ pain after a heavy meal and went on to feel weak for days, self-diagnosing himself with a ‘stomach bug’. How will a ‘neglected’ STEMI evolve? We know for a fact this type of MI may occur as an undiagnosed event - well beyond the window for intervention - and may lead to lasting dyskinesia without re-perfusion. What territories are involved in this patient, what vessels are likely stenosed or occluded, and what are the likely scenarios if left untreated?

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