Case Report of a Benign Looking Malignant ECG–Value of Subtle Signs

ECG is one of the primary and most informative bedside tools for the cardiologist, even in the present era. Careful analysis of ECG changes (sometimes subtle) can be life-saving, such as in the case we are presenting now. A 42-year-old gentleman with no obvious coronary risk factors presented with vague pain and subtle ECG changes (outside physician passed off as usual). He was asked to consult a cardiologist. While awaiting outpatient consultation, he collapsed. The patient was resuscitated and coronary angiogram was immediately done, which showed distal left main disease. Successful intervention was carried out with the help of provisional stent strategy, and the patient was discharged safely.