Dr. Smith's ECG Blog

Instructive ECGs in Emergency Medicine Clinical Content

Associate Editors:
— Pendell Meyers & Ken Grauer (2018)
— Jesse McLaren & Emre Aslanger (2022)
— Willy Frick (2024) — Sam Ghali (2025)

editors

10 Cases of Inferior Hyperacute T-waves

In the last post, I showed: 

Ten (10) Examples of Hyperacute T-waves in Lead V2 (a few in V3), due to acute LAD occlusion

Today, 10 examples of inferior hyperacute T-waves.

Details in every case make it even better, so click on the link!!

Case 1.  

Chest Pain in a 61 year old male. Inferior STEMI without inferior ST elevation.

In this case, the followup ECG is diagnostic because of lead V1

Case 2.

Inferior Hyperacute T-waves

Case 3.

Chest Pain in a Male in his 20’s; Inferior ST elevation: Inferior lead “early repol” diagnosed. Is it?

This case was missed.  Read about it.

Case 4.

Series of Prehospital ECGs Showing Reperfusion

This has an incredible sequence of ECGs!

Case 5.

The development of an inferior-posterior STEMI, from prehospital to hospital

Case 6. 

Friday’s post produced skeptics…..

This case made a lot of readers angry, denying that these are hyperacute Ts

Case 7.

A Case of Clinical Unstable Angina in the ED

This case shows how hyperacute is only relative to the baseline T-waves.  Also, the critical role of reciprocal ST depression and T-wave inversion in aVL.

Case 8.

Is this STEMI? Pattern Recognition is Key 

Go to the link, and this case shows an inferior pseudoSTEMI for contrast

Case 9.

Inferior hyperacute T-waves. The clue is T-wave inversion in aVL. Serial ECGs evolve to ST Elevation.

Case 10.

Subtle Inferoposterolateral STEMI

Previous Article

Ten (10) Examples of Hyperacute T-waves in Lead V2 (a few in V3), due to acute LAD occlusion

Next Article

Resuscitated from ventricular fibrillation: what is the ECG Diagnosis?