A 45 year ol man presents to your ED clinic with complaints of left sided chest pain since 45 minutes.

 A 45 year ol man presents to your ED clinic with complaints of left sided chest pain since 45 minutes.

He is a known smoker and Diabetic as well.

He says it seems like a heavy stone on his chest.

You immediately order an ECG and send Tropinin T  levels as well. 

1. Comment on the ST segment in Leads V 1 , V2 and V3 :

There is ST segment elevation in Leads V1 , 2  and V 3.

2. What are the causes of ST segment Elevation :

Causes of ST Segment Elevation

Acute myocardial infarction.

Coronary vasospasm (Printzmetal's angina)

Pericarditis.

Benign early repolarization.

Left bundle branch block.

Left ventricular hypertrophy.

Ventricular aneurysm.

Brugada syndrome.

3. What is the most likely diagnosis in thes patients case ?

Acute Anterior STEMI / ST segment Elevation Myocardial Infarction.

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