1. Wrap around LAD true Global MI
2. RCA-dependent LAD circulation through collaterals
3. True bifurcation STEMI with static thrombus (Carinal trapping of thrombus ,Coronary Lerish sydrome )
4. Embolic STEMI with showers of emboli into both LCX and LAD
Simultaneous or sequential Anterior and Inferior STEMI
5. Mid or Proximal LAD lesion with proximal thrombus build-up
Further possibilities
Mimickers: Distal LAD lesions -Inferior ST elevation due to sparing of diagonal
Wrong diagnosis -ERS pattern, pericarditis etc.
Dr.S.Venkatesan MD 