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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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.

Late intrinsicoid deflection v6 Normal in lead v1 QRS wide and predominantly negative in lead v1 LBBB

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

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

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Stemi chances of posterior infarct Ecg of 7 to9 lead Angiography 2 decho Tropi&t angioplasty

Lvh strain cannot be ruleout ischemia

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Anterior wall MI c LVH

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