
Lightweight case
46yo male with worsening exertional chest pain 2 days, right sided parasternal area, slightly brady/hypotensive, smoker. Although the only abnormality was isolated TWI inferiorly and slightly prolonged PR, I sent him for ER ruleout partly due to being in a risk sensitive setting.
I am interested in learning more about isolated inferior TWI's in fairly young males with this type of presentation. I did not have a high suspicion, but have found that inferior MI's are often the first presentation when patients have early coronary disease. Thanks for any thoughts.