Clinically, the patient has all the signs of an acute MI - except for one thing: a diagnostic ECG. What am I not seeing? Is there something else I should be looking for? During the last 10 years, we have discovered that many "non-STEMIs" were actually complete coronary artery occlusions. But the patient was incorrectly categorized and failed to receive optimal management. Three different presentations of acute coronary occlusions will be presented and the skills to recognize these difficult presentations will be defined and addressed in detail. This will include discussion of the newly recognized Aslanger pattern, the “South African Flag Sign” (isolated occlusion of the first diagonal branch) and an early STEMI presenting as ST depression. This session was recorded on Monday, April 24, 2023 at
the 29th Annual Scientific Assembly (AAEM23) in New Orleans, LA.