A 69 year old male presented with history of angina which is of 3 hours evolution of centro thoracic pain. ECG is attached. Diagnose.

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Abnormal Q wave inferior leads ST segment, elevated in inferior leads II III and avF ST depression show in lateral leads I and avL So, indeed it seems to be " IWMI "

Thanks Dr. Ashok Leel sir
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Lead 2,3 avf inferior wall STEMI, Lead 1, avl, V5,6 T wave inversion lateral wall ischemia subendochordial,V3-5 T wave inversion septal ischemia.- Twave changes of LAD without changes in ST -T changes Wallen Syndrome.

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Old IWMI tropt repeat ecg and echo to be done to look for new changes or evolving ischemia/MI. Treat as unstable angina if negative and no new changes, NSTEMI if positive cardiac enzymes. Plan for CAG and if needed PCI

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Inferior wall MI, wellness syndrome. St with concavity suggests pericarditis with aneurysmal dilatation inferior wall.

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inferior wall Myocardial Infarction .

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Old IWI with wellens syndrome

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Inferior wall MI

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Gross elevation in limb leads 2,3,avf - Acute MI inferior wall and T wave inversion in 1,avl - lateral wall ischaemia with deep s - waves in V1,2,3,4--left ventricular Hypertrophy

Inferior wall MI.

Thanks Dr Shatrughan Behera.
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Inferior wall mi with Wellen's syndrome.

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