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Inferior STEMI — PARA MCQ

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HardGeneral Medicine - CardiologyInferior STEMIPARA

A 58-year-old man has central chest pressure radiating to his left arm for 50 minutes. ECG shows 2 mm ST elevation in leads II, III and aVF with reciprocal ST depression in I and aVL. What is the most likely diagnosis?

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Correct answer: A — Inferior ST-elevation myocardial infarction

ST elevation in the inferior leads with reciprocal change is most consistent with an inferior STEMI, usually requiring urgent reperfusion pathway activation.

Reference: NICE NG185: Acute coronary syndromes