Anterior acute ischemic pattern with ST elevation
Chest Pain at Age 72
A 72-year-old man presents with chest pain. This is his initial ECG.
Panel A extracted from the serial figure: one complex per lead. Source resolution is limited; precise measurements must not be required.
Look for
- ST elevation in an anterior distribution.
- Changes to compare across contiguous leads.
Where to look. Compare V1–V4, then opposing leads; use the TP segment as the baseline when visible.
The ST-elevation distribution suggests acute anterior ischemia. Interpret the ECG alongside the history, serial tracings, and other investigations.
The article confirms LAD occlusion. The question uses only panel A, before subsequent changes.
References & provenance
The ECG Made Easy, 9e, ch. 5, PDF 129–138; The ECG Made Practical, 7e, ch. 6, p. 197–200.
Serial Electrocardiographic Changes in Early Post-myocardial Infarction Pericarditis
Kazuhito Hirata; Masanori Kakazu; Tomohiro Arakaki; Atsushi Kakazu; Osamu Arasaki. Serial Electrocardiographic Changes in Early Post-myocardial Infarction Pericarditis. 2022. doi:10.7759/cureus.26795. Figure 1. CC BY 4.0. CC BY 4.0
Adaptation: cropping and removal of headers/annotations outside the tracing where applicable; metadata removed. Waveforms have not been redrawn.
Compared with the published source; no independent clinical validation is claimed.
Original annotations & limitations
Infarctus antérieur avec sus-décalage ST
Homme de 72 ans avec douleur thoracique; occlusion de l’IVA proximale documentée et traitée par angioplastie.
Utiliser le panneau A uniquement pour la question initiale. Le panneau C correspond à la péricardite secondaire du même patient, pas à un second cas.