Abstract
A 59 years female, known case of Non-Insulin Dependent Diabetes Mellitus (NIDDM) for 10 years with a strong family history of coronary artery disease (both parents & siblings have CAD), presente with severe agonizing precordial chest discomfort, radiating to left shoulder associated with profuse sweating for last 3 hours.In emergency room,patient was restless,pulse=100/min.,BP=170/100mm Hg,O2 saturation 98%.There was no sign of cardiac failure.ECG recorded in emergency room revealed ST elevation of 5to 6 mm in lead I,aVL, 4 mm ST elevation in lead II, V2 and shuttle ST segment sagging in lead II, 4 mm ST segment depression in lead III & Avf (South African Flag Sign) (Fig 1).
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