Repeat ECG after 40 minutes. Patient remains pain/symptoms free.
- Ventricular rate 66 bpm
- Sinus rhythm
- Normal PR interval (160 ms)
- Normal QRS axis (75°)
- QRS duration 88 ms
- QTc 379
- Widespread concave ST elevation (unchanged)
- Tall (possibly hyperacute) T waves in the mid-lateral precordial leads (unchanged)
- Biphasic T wave in lead V2 appears more upright → ? pseudo-normalisation
Ongoing suspicion for LAD occlusion. Patient to remain in a monitored area with continuous cardiac monitoring and repeat 12-lead electrocardiogram in 15 minutes.