60-year-old man with left arm tingling

A 60 year old male comes to ED for chest pain, dyspnoea & 30 mints of left arm tingling. ECG is attached below. Please interpret.

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LVH WITH STRAIN WITH SURPRISINGLY INCONSPICUOUS Q WAVE LEFT PRECARDIAL LEADS ,WITH ISCHAEMIA, CARDIAC ENZYMES AND SERIAL ECG. ECHO

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LVH strain Better to do cardiac enzymes and 2d echo as pt c/o chest pain

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SInus tachycardia... AXIS normal... Convex ST elevation in V1 v2.. ST depression wid Twave inversion in lead 1,2, avl, v5 v6.. LVH wid voltage criteria.. Findings suggestive of AWMI wid reciprocal changes in lateral leads wid LVH wid strain.. Systolic overload dysfunction..

2,3avf inf wall ischemia, 1,avl, Lead v5,6 Twave inversion anterior wall ischemia, V3-6 T wave inversion Lateral wall ischemia/infarction, with UNSTABLE ANGINA. Tall QRS complex in chest leads Hypertension or LVH. ? Tachycardia.

SINUS TACHYCARDIA LVH WITH STRAIN .ST ELEVATION V1 V2 V3 ARE RECIPROCAL CHANGES OF ST - T CHANGES IN LATER WALL CHEST LEADS

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LAD LAHB LVH with strain Widespread st t changes with st elevation in aVr Can't ruled out ischemia Do Echo, enzymes

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Its incomplete LBBB... Sgarbossa criteria negative Slight ST elevation can be seen in avR Do enzymes

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Anterseptal STEMI, May be benefitted by Primary PCI, If not available, thrombolysis should be done

ECG suggestive of Antero septal infarction withlateral wall ischemia .

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Anterior wall ischemia , unstable angina

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