ST elevation in aVR is classically associated with left main occlusion, but can also be caused by severe triple vessel disease or diffuse subendocardial ischemia.See also: ST segment
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This ECG is from a woman in her 60s who presented with hypotension, bradycardia, chest pain and back pain. She had a history of aortic aneurysm, mechanical aortic valve and peripheral vascular disease.
This ECG shows widespread ST depression with ST elevation in aVR. The cause was aortic valve thrombosis.