Left ventricular hypertrophy , anterior lateral myocardial infarction.
As blackie said , this ecg shows the early hours of the MI

Management :
O2
Aspirin
Morphine + metoclopramide
consider trombolytics or percutaneous coronary intervention

2.
Polymorphic wide complex tachycardia – torsades de pointes

Management :
MgSo4 2-4g iv
If haemodynamic unstable – defib

thanks for participating

sinus rhythm with HR around 100/min. high T seen in I,II and all the chest leads. high T can be considered to be in aVF also. Reciprocal changes in aVR. ST segment elevation can be seen. non-Q.

Ds: Anterior lateral myocardial infarction. Possible circular extensive MI (avF is counted)

but this is a very early ECG, showing ST slowly moving up and Q is not formed yet. all this is acute stage. Don’t know how to say the diagnosis in english but in Russian, it would be циркулярный инфаркт миокарда в стадии повреждении.

2. torsades de pointes. treat with magnesium sulfat.

thanks for posting

There is left ventricle hypertrophy and myocardial infarction? Management, maybe give beta and calcium blockers?