Subtle ECG Finding of Heart Attack

An upright T wave in V1 can be an indicator of Coronary artery disease and a bigger T wave in V1 than V6 suggsts Left Anterior Descending (the widow maker) blood vessel disease.

tsch Med Wochenschr. 2013 Jan;138(1-2):28-30.
Upright T-wave in V1 as predictor of significant coronary artery disease.
Högemann A, Nordmeyer P.  abstract here

“in patients with thoracic pain and a positive T-wave in V1 cardiac ischemia should be considered.”

Article in German so all I got.

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