25th May 2025

A 55-year-old gentleman, usually fit and healthy, is admitted with sudden onset chest pain, epigastric pain, sweating and syncope.

A 55-year-old gentleman, usually fit and healthy, is admitted with sudden onset chest pain, epigastric pain, sweating and syncope. On arrival, his blood pressure is 90/65mmHg. His heart rate is 45, with an oxygen saturation of 98%. His troponins are raised. You are suspecting acute MI. 

What are the most likely findings on ECG?

Select the SINGLE most appropriate option from the list below. Select ONE option only.