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A 52 year old male presents with two hours of substernal chest pressure associated with nausea and diaphoresis. He has a history of diabetes and hypertension. He had a normal EKG one month ago. What does the EKG show and what is your diagnosis? Rate: 80 Rhythm: sinus rhythm Axis: left axis PR: 0.16 QRS: wide (0.17) ST: elevated in V2, V3, V4, and V5 EKG diagnosis: acute anterior MI Treatment: oxygen, aspirin, nitrates, beta blockers, thrombolytics vs PTCA |