This patient presented with intermittent chest pain and had an initial troponin of 18,000. This patient has concordant ST elevation in I and II, as well as excessive discordant elevation in V2-V4. The patient had a 99% mid-to-distal LAD lesion that was successfully stented.
The following is a review of the Sgarbossa Criteria for acute MI in patients with a LBBB (old or new).