Quick Case: Young patient with anterior wall myocardial infarction


A 40-year-old male patient presented with retrosternal pain and perspiration that was occurring for the past hour. He had mild chest pain a couple days prior. An ECG was done, and results were normal. A fresh ECG shows mild ST elevation in V1-V2. The patient was immediately referred. Hospital ECG showed anterior wall myocardial infarction. At the time the PAMI was done, he had a 95% blockage of the left anterior descending artery.


When the results are normal in the first ECG done for a patient with chest pain, that does not exclude the possible presence of cardiac disease. Patients must be kept under observation, and repeated serial ECG can clinch the diagnosis, at times.


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