Echocardiographic Findings During Stress-Induced ST-Segment Elevation in Lead aVR in Ostial Left Main, Left Anterior Descending Stenosis

![Figure][1] [![Graphic][3] ][3][![Graphic][4] ][4] A 63-year-old man with hypertension, hyperlipidemia, and nicotine abuse underwent an echocardiogram stress test to investigate a recent history of chest pressure at rest. Baseline echocardiogram and electrocardiogram (A) were