His Head Is In the Game–His Heart, Not So Much

ANSWER

The correct interpretation includes normal sinus rhythm with a new anterior myocardial infarction (MI) and inferolateral injury.

Criteria for an anterior MI include Q waves in leads V₂ to V₆ and hyperacute ST-T wave changes. V₁ is usually spared.

Inferolateral injury is evidenced by the presence of Q waves and absence of R waves in leads III and aVF.

The patient’s cardiac catheterization revealed left anterior descending and circumflex artery disease.