Cannot Rule Out Anterior Infarct ((new)) Now

Crucially, it is a diagnosis of acute MI. It is a recommendation to consider anterior infarct in the differential diagnosis and pursue further evaluation (clinical correlation, serial ECGs, cardiac biomarkers, imaging).

: If this is included, it means the EKG cannot tell if the potential event happened recently or years ago. Common Reasons for False Positives cannot rule out anterior infarct

A 72-year-old with hypertension and diabetes presents with substernal chest pressure for 2 hours. ECG shows ST elevation 1 mm in V2–V3, PRWP, and no reciprocal changes. Troponin is pending. Crucially, it is a diagnosis of acute MI