The following ECG was taken from a 55-year old male who presented to the ER with 2-hour history of persistent heavy discomfort across the anterior chest with radiation to the neck.
Risk factors: Positive family history (father had MI at age 52); hypertension; dyslipidemia.
Medications: Nifedipine XL 30 mg daily and atorvastatin 10 mg daily.
Physical examination: Heart rate 100 beats per minute, BP 130/85 mmHg, respiratory rate 22/minute. Jugular veinous pressure is 4 cm above the sternal angle at 45 degrees. Soft S1 and S2 and prominent S4. No murmurs.
1)- What is the ECG diagnosis?
a. Acute pericarditis.
b. Acute anterior ST elevation myocardial infarction.
c. Acute infero-posterior-lateral ST elevation myocardial infarction.
d. Acute infero-posterior-lateral with right ventricular myocardial infarction.