Interpret this ECG

Patient in the early 80s with a history of ischemic heart disease brought to ER with 5 minutes of unresponsiveness, eyes rolled back, no features of seizure, woke up ultimately with no recollection, no post-ictal symptoms. Hypertensive, no chest pain or breathing difficulty noted, 3 hours troponin is only minimally elevated. How would you describe the ECG findings and how will this guide your decision making?

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ECG sinus rhythm,t Wave inversion in lead1 and AVL, Q wave prominent in chest leads V1 tov3 with T wave inversion inv1 tov6. Suggestive of recent or evolved anteriorsep m i.with lateral wall ischeamia. Needed comparison with older one ECG if possible, serial ECG, cardiac enzymes, Lipid profile, ECHO angiography,
ECG = ANTERIOR WALL MI AGE UNDETERMINED 1 ° A - V PLOCK HE HAD CVA POSSIBLY CEREBRAL EMBOLISM THROUMBUS FROM LEFT SIDE OF HEART POSSIBLY AT INFARCT AREA WHICH CLEARED IN 5 MTS & PT BECAME ALL RIGHT
Anteroseptal Myocardial infraction,sinus rhythm. Needs further investigation and evaluation to conclude and treatment plan. Admission in ICU with follow protocol.
Thanks Dr Sandeep S
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Sinus Rhythm, Anteroseptal Infarction, possibly old.
Anteroseptal AMI. Admit the patient and treatment as per protocol.
Prolonged pr interval.biphasic t in v1 to v4.asmi/wellens.
Anterosrptal wall mI With lateral wall ishchemia
Deep q wave suggests MI ant wall.
Post wall involved ?
Anterioseptal mi