Atypical ECG pattern in patients with hypoplastic RCA, normal LCx, normal left coronary artery trunk (LMCA) and total occlusion with image

Male, 27 years old, born and from Fortaleza/Ceará, Brazil, bricklayer
QP/main complaint: chest pain started 4 hs ago.
HDA/history of current disease: he mentions oppressive precordial pain, with no irradiation, associated to nausea and vomiting, and cold sweat during work.